UNIVERSITY  OF  ILLINOIS  :  |  |i-|  |;i 

SOME  CONDITIONS 


ADVANCED  LIFE 

IN  WHICH 

THE  SYRUP  OF  HYPOPHOSPHITES 

(FELLOWS-)  • 

/  '' 

'  ; 

IS  BENEFICIAL. 


[res  THE  MEDICAL  PROFESSION 


PART  V. 


NEW  YOEK :  48,  VESEY  S/TREET 
PARIS  :  5,  RUE  DE  LA/  PAIX. 


LONDON :  I 

JAS.  I.  FELLOWS,  67,  HOLBORIN  VIADUCT 

1885  i 


To  the  Medical  Gentlemen  who  have  honoured  me 
with  the  Reports  and  Testimonials  which  so  greatly 
enhance  the  value  of  my  publications ,  and  to  whom 
the  wo.  ks  are  respectfully  '  dedicated ,  I  tender  the 
most  cordial  thanks ,  with  the  assurance  that  the 
contributions  shall  be  used  in  such  manner  only, 
as  is  consistent  with  the  ethics  of  the  Profession. 

JAMES  I.  FELLOWS. 


London,  July ,  1885. 


&  1  S.  54 
P  2>3s 


I 


PREFACE. 


i 

j 


C3r 


rO 


Oo 


-A 

fO 


Mr.  Fellows  avails  himself  once  more  of 
the  opportunity  of  thanking  the  Profession 
for  their  liberal  recognition  of  the  value  of 
his  Syrup  of  the  Hypophosphites. 

He  feels  it  desirable  again  to  point  out  the 
fraudulent  practices  of  some  dispensing  che¬ 
mists,  who  substitute  fictitious  articles  for 
the  Syrup,  When  prescribed.  The  conse¬ 
quences  are  : — 

1.  — The  medical  man  is  disappointed,  in 
not  getting  the  desired  results, — Why  ? 
because  the  Strychnia  is  precipitated,  and  so 
the  patient  does  not  get  the  expected  benefit. 

2.  — The  precipitated  Strychnia  is  taken 
altogether  in  the  last  dose,  which  may  thus 
be  positively  poisonous.  ; 

Many  of  such  imitative  preparations 
been  examined  by  Mr.  Fellows,  but  not^ 


994713  I 


IV 


PREFACE. 


lias  been  found  to  possess  the  distinctive 
characters,  of  his  Syrup,  viz  : — freedom  from 
acid  reaction,  stability  in  vacuo,  or,  indeed, 
the  same  composition,  those  blended  elements 
which  render  it  so  potent  a  remedy  in  disease. 

He  ventures  to  think  that  in  their  own 
interests,  as  well  as  in  the  interests  of  their 
patients,  it  is  well  for  the  Medical  Profession 
to  employ  an  agent  of  known  composition 
and  properties,  which  is  further  guaranteed  by 
distinguishing  marks,  in  order  to  avoid  dis¬ 
appointment  ;  while  as  to  the  patient,  the 
importance  of  having  the  genuine  article  is 
obvious. 

He  hopes  to  retain  both  the  confidence  of 
the  medical  man  and  the  patient,  by  main¬ 
taining  the  composition  of  his  Syrup 
unimpaired.  He  should  further  like  to  point 
out  how  well  adapted  this  Syrup  is  for  use  by 
itself,  as  an  habitual  tonic,  or  where  a  tonic  is 
Squired  for  some  considerable  time. 


X  Letters  CLXI  CLXXVIII.,  CLXXIX.,  CCVIII.) 


SOME  CONDITIONS 


OF 

,  I 

ADVANCED  LIFE 

IN  WHICH 

FELLOWS’  SYRUP  OF  THE  HYPOPHOSPHITES 

IS  BENEFICIAL. 


The  success  of  his  fourth  pamphlet  on  the  utility 
of  this  Syrup  in  the  maladies  incident  to  childhood, 
encourages  Mr.  Fellows  to  essay  a  fifth.  In  it  the 
maladies  of  advanced  life  will  be  considered  ;  especially 
as  to.  their  therapeutic  aspect,  and  the  advantage  of 
giving  his  Syrup  of  the  Hypophospliites  in  many  in¬ 
stances — for  the  relief  of  which  it  seems  to  possess 
special  properties  in  gooct  combination. 

The  onCome  of  age  has  a  benumbing  effect  upon  the 
whole  organism,  not  only  the  motor  and  intellectual  pro- 
cessses,  but  also  the  activity  of  the  viscera  and  the  energy 
of  the  organic  life.  It  has,  indeed,  widespread  effects, 


/ 


,  ■  -  -  - 

f,  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


wbicli  have  thus  been  summarised  :  “Not  only  is  the 
locomotion  affected  and  the  features  altered,  but  the 
working  of  every  part  of  the  organism  becomes  modified 
and  less  efficient.  The  eye  becomes  gradually  worn  out, 
especially  at  the  distances  most  commonly  used,  necessi¬ 
tating  the  aid  of  glasses  or  lenses  ;  and  the  skilful  limber 
hand  grows  stiff  and  loses  its  cunning.  The  ear  no  longer 
possesses  its  acuteness  of  hearing,  and  receives  but  im¬ 
perfectly  the  air  vibrations  which  it  converts  into  sound. 
The  internal  organs  perform  their  functions  but  slug¬ 
gishly,  and  often  inefficiently  ;  the  breathing  becomes 
laborious,  and  the  heart  is  less  equal  to  the  demands 
upon  it ;  the  bowels  are  less  active,  and  the  stomach 
enfeebled;  the  kidneys  no  longer  preserve  their  integrity, 
and  great  variations  become  manifest  in  their  secretion ; 
the  skin  is  no  longer  soft,  pliable,  and  capable  of  free 
secreting  action,  but  is  dry,  wrinkled,  and  inactive.  The 
nervous  system  loses  its  grasp,  and  the  once  enterprising 
brain  becomes  essentially  conservative  and  indisposed  to 
change ;  the  once  tenacious  memory  becomes  treacherous 
and  untrustworthy ;  and  the  reasoning  powers,  once  clear 
and  judicial,  become  enfeebled,  and  petulance  and  obsti¬ 
nacy  obtain  where  breadth  of  thought  and  tolerance  were 
once  supreme.”  (The  Maintenance  of  Health).  Such, 
then,  is  a  brief  summary  of  what  is  given  at  greater 
length  and  in  the  fulness  of  detail  by  Dr.  Maclachlan  in 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES .  7 


his  ‘  ‘  Treatise  on  tlie  Diseases  and  Infirmities  of  Advanced 
Life.”  Dr.  Maclaclilan  was  the  physician  to  the  Chelsea 
Hospital,  and  thus  enjoyed  special  opportunities  for  ob¬ 
serving  the  maladies  on  which  he  wrote.  He  says  : 
“  Failing  strength  and  activity,  weakening  of  the  nutri¬ 
tive,  organic,  and  reproductive  functions,  and  shortness 
of  breath  on  moderate  exertion,  are  among  the  earliest 
indications  of  physical  decline -even  in  the  most  healthy.” 
It  is  this  growing  enfeeblement  of  the  frame  in  each  of 
its  parts  which  is  the  great  fact  to  be  borne  in  mind  in 
dealing  with  the  maladies  of  advanced  life.  There  is  no 
longer  the  tendency  to  the  acute  inflammatory  morbid 
activities  which  obtains  in  earlier  years.  Disease 
assumes  an  asthenic  type,  and  tends  to  spread  from 
tissue-atony.  Inflammation  of  the  lungs,  for  instance, 
no  longer  requires  lowering  measures  but  active  tonic 
treatment.  Mucous  membranes  are  prone  to  rheums, 
or  in  other  words,  instead  of  full-grown  complete  epithe¬ 
lium  being  formed  over  their  surfaces  imperfect  mucous 
corpuscles,  with  a  considerable  amount  of  fluid  are  thrown 
off :  telling  of  impairment  of  formative  power.  The 
muscles  lose  their  plumpness  and  waste ;  the  articulations 
stiffen ;  and  locomotion  is  limited,  by  which  visceral 
congestion  is  favoured.  The  machine,  indeed,  wears  out 
generally ;  some  part  giving  way  more  than  others  in 
many  instances,  but  still  there  is  impairment  through- 


8 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


out  the  body  structure:  which  must  never  be  for¬ 
gotten. 

Diseases  of  the  Assimilative  Organs. — The  as¬ 
similative  organs  suffer  in  the  general  decay  and  lose 
functional  activity  while  presenting  anatomical  evidences 
of  their  decadence.  “  Participating  in  the  general  wasting 
of  the  organs  and  tissues,  the  stomach  and  intestines 
lose  bulk  and  become  thinner  in  old  age.  The  glandular 
apparatus  is  atrophied.  Many  glands  seem  to  have 
entirely  disappeared.”  The  secretory  tubules  of  the 
stomach  share  in  the  general  impairment,  alike  with 
the  absorbent  glands  of  the  intestine.  Thence  follow 
imperfect  digestion  of  the  food,  and  lessened  absorption 
from  the  soluble  contents  of  the  alimentary  canal.  In 
consequence  thereof  the  food  of  the  aged  has  to  be 
specially  digestible  as  well  as  nutritive,  so  as  to  give  the 
maximum  of  digested  products  with  the  smallest  tax  on 
the  assimilative  processes.  To  maintain  the  efficiency 
of  the  digestive  system  a  tonic  combining  strychnia 
with  phosphorus  seems  specially  indicated. 

The  first  is  a  tonic  to  the  muscular  walls  of  the 
stomach,  which  become  more  or  less  inert  ;  while 
phosphorus,  in  the  form  of  the  readily  assimilable  hypo- 
phosphites,  feeds  the 'nervous  centres  of  the  viscera. 
The  syrup  thus  gives  tone  to  the  waning  energies  of  the 
digestive  canal. 


FELLOWS'  SYRUP  OF  THE  HYPOPIIOSPHITES.  9 


And  here  a  few  words  may  be  said  as  to  the  special 
utility  of  the  syrup  in  conditions  of  enfeebled  assimila¬ 
tion.  The  value  of  wine  as  a  stimulant,  in  addition  to 
good  food  in  the  enfeebled  digestion  of  the  aged,  has 
ever  been  recognised  from  the  earliest  time.  Ulysses 
urges  upon  his  aged  father  a  regimen  well  suited  to  his 
waning  energies. 

“  Warm  baths,  good  food,  soft  sleep  and  generous  wine, 
These  are  the  rights  of  age  and  should  be  thine,” 

And  Jutus  von  Liebig  pronounced  wine  to  be  “  as 
milk  for  the  aged.”  The  stimulant  effect  of  generous 
wine  in  the  debilitated  assimilation  of  elderly  persons  has 
been  largely  valued  in  the  past.  At  the  present  time 
the  growing  objection  to  alcoholic  stimulants  and  the 
spread  of  the  temperance,  or  even  the  total  abstinence 
movement,  has  limited  the  resort  to  wine,  and  this  in 
turn  has  led  to  the  selection  of  substitutes  of  non¬ 
alcoholic  character.  For  those  who  decline  to  accept  the 
aid  of  wine,  as  did  Timothy,  who  had  to  be  told  to 
“  Drink  no  longer  water  but  a  little  wine  for  thy 
stomach’s  sake  and  thine  often  infirmities”  and  who 
need  something  of  a  stimulant  character  in'  order  to 
rouse  the  flagging  powers  of  digestion,  this  syrup  offers 
special  advantages  ;  and  one  or  two  teaspoonfuls  in  a 
tumbler  of  water,  form  a  bitter  tonic,  sharpening  the 


10 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


appetite,  and  giving  tone  to  the  digestive  organs,  taken 
before  or  with  meals. 

Then  the  intestines  share  in  the  waxing  sluggishness 

—  the  numbness  which  is  pervading  the  whole  system, — 

and  the  bowels  are  apt  to  become  chronically  loaded  in 

age.  For  the  relief  of  such  a  state  the  syrup  is  admirably 

/ 

adapted,  the  strychnine  exercising  its  well-known  effect 
of  increasing  the  tone  of  the  muscular  fibre  of  the  in¬ 
testine.  To  so  give  tone  to  the  bowels  is  preferable  to 
the  too  common  resort  to  purgatives,  which  open  the 
bowels  for  the  time  and  then  leave  them  to  become 
loaded  again.  Piles  and  other  rectal  and  anal  troubles 
are  the  common  outcome  of  habitually  loaded  bowels  in 
advanced  life.  A  laxative  dose  of  medicine,  now  and 
then,  however,  is  not  objectionable  ;  and  is  to  be  pre¬ 
ferred  to  straining  at  stool,  which  is  fraught  with 
danger  when  the  arteries  are  growing  brittle — as  they 
are  apt  to  become  in  advancing  years. 

Diseases  of  the  liver  are  also  more  prevalent  as  life 
reaches  its  termination ;  not  acute  diseases,  but  those 
of  a  more  chronic  character  especially  atonic  congestion. 
The  torpor  of  the  portal  system  is  furthered  by  the  in¬ 
creasing  inability  to  take  exercise,  and  thus,  as  Cullen 
pointed  out,  the  liver  is  rendered  liable  to  congestions 
which  “generally  escape  detection,  or  are  only  suspected 
in  the  living.”  So  far  as  possible  then,  tonics,  with 


I 


FELLOWS'  SYRUP  OF  THE  HYPO  PHOSPHITES.  11 


attention  to  the  dietary  and  the  state  of  the  bowels, 
should  be  used  to,  prevent  such  congestions  of  the  liver ; 
and  by  stimulating  that  important  vise  us,  as  well  as  by 
increasing  the  general  vigour,  to  ward  off  structural 
change  in  it. 

The  ordinary  symptoms  of  disorder  in  the  abdominal 
viscera  are  either  dyspeptic  and  belonging  to  the  stomach, 
with  distension  after  eating,  and  less  frequently  pain ;  or 
there  is  the  persisting  sense  of  fullness  of  loaded  bowels ; 
or  weight  and  pain  over  the  liver  when  that  viscus  is 
affected.  When  these  symptoms  are  manifested,  either 
few  or  many,  then  a  general  tonic  is  indicated,  of  which 
this  syrup  is  the  best  for  practical  purposes. 

Diseases  of  the  Circulatory  Organs. — That  age 
makes  itself  felt  upon  the  different  portions  of  the  cir¬ 
culatory  apparatus  is  a  matter  which  has  long  been 
known  to  pathologists  in  the  post-mortem  room,  as  well 
as  to  practising  physicians. 

As  life  advances  the  arteries  become  hard,  as  Hunter 
pointed  out,  and  this  atheroma  (as  this  condition  is 
termed)  in  time  undergoes  either  a  calcareous  degenera¬ 
tion  (by  the  infiltration  of  lime  salts  into  the  altered 
coats),  or  a  fatty  degeneration  by  which  the  hardened 
portions  are  softened  and  so  all  the  more  readily  torn. 
In  arterial  degeneration  there  is  a  great  tendency  for 
the  wall  to  yield  at  certain  points  and  thus  to  the  forma- 


12  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


tion  of  an  aneurism,  or  the  weakened  coat  may  be  torn 
through,  and  thus  the  patient  bleeds  to  death  inwardly. 
Or  effort  (raising  the  internal  pressure)  at  one  time  may 
develop  an  aneurism,  the  sac  of  which  a  future  effort 
may  rupture.  All  these  consequences  are  the  sequel®  of 
'  that  hardening  of  the  arteries  spoken  of  as  atheroma ; 
and  therefore  the  avoidance  of  this  initial  condition  is  a 
matter  of  primary  importance.  If  it  can  be  staved  off 
its  sequel®  are  avoided.  By  a  regulated  dietary  and  the 
avoidance  of  excess  of  animal  food,  this  morbid  change 
may  be  kept  off ;  but  as  the  loss  of  the  stimulant  animal 
food  is  often  keenly  felt,  it  is  well  to  add  the  syrup  to 
the  new  dietary,  by  which  all  sense  of  depression  or 
“feeling  too  low”  can  be  avoided  without  entailing 
undesirable  results.  A  more  material  mattter  still  is  the 
change  which  takes  place  in  the  heart  itself  as  age  pro¬ 
gresses — as  time  wears  on  with  sure,  if  leaden  foot. 
Recent  observations  have  told  us  that  there  is  a  certain 
increase  in  hulk  in  the  muscular  wall  of  the  heart  as 
maturity  moves  on  to  age,  which  is  found  along  with  the 
above-mentioned  hardening  of  the  arteries.  The  hardened 
arteries  are  not  so  readily  distended  by  the  cardiac  systole 
as  of  yore,  and  to  overcome  this  resistance  to  the  onward 
flow  of  the  blood  on  the  ventricular  contraction,  a  com- 
XDensatory  hypertrophy  is  set  up.  By  this  growth  a  new 
balance  is  established  which  goes  on  for  some  time,  the 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  15 


individual  still  feeling  well  and  vigorous.  But  as  the 
aorta  becomes  less  and  less  elastic  its  rqcoil  is  impaired, 
and  this  recoil  of  the  elastic  aorta  is  the  force  which 
drives  the  blood  into  the  smaller  arteries— indeed  is 
the  cause  of  the  pulse,  though  not  the  direct  cause. 
The  elastic .  arterial  system  is  always  (in  health)  more 
or  less  full  of  blood.  When  the  heart  contracts — the 
ventricular  systole — so  much  more  blood  is  thrown  into 
the  elastic  arterial  system.  In  this  respect  the  circu¬ 
latory  system  resembles  the  spray- apparatus.  The  heart 
corresponds  to  the  pump  held  in  the  hand,  which  con¬ 
tracts  rhythmically ;  the  elastic  arteries  are  the  india- 
rubber  globe,  or  elastic  reservoir  (always  more  or  less 
full)  which,  always  distended,  converts  the  rhythmic  flow 
into  the  steady  current  of  the  out-going  pipe.  When 
the  elastic  wall  in  either  case  loses  its  elasticity  its 
function  is  impaired.  Consequently  the  flow  of  blood 
into  the  coronary  arteries  on  the  aortic  rebound  is 
impaired  by  the  lessened  elasticity  in  the  arterial  wall, 
while  the  hardening  process  is  often  markedly  developed 
in  these  nutrient  vessels  of  the  heart.  ,  Further,  this 
atheromatous  change  thickens  the  inner  coat  of  the 
affected  arteries;  including  those  of  the  coronary  arteries, 
and  so  lessens  their  lumen,  or  calibre,  or  bore.  The 
result  of  these  two  combined  actions  is  the  reduction 
of  the  blood-current  passing  through  the  heart -walls, 


I 


14 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


which  leads  in  turn  to  their  imperfect  nutrition.  Im¬ 
paired  nutrition  cuts  down  the  energies  of  the  heart 
and  then  failure  of  its  action  follows  :  at  first  partial 
failure,  finally  cessation  of  action  in  diastole.  When 
the  heart’s  energy  is  lowered  then  a  general  tonic  is 
good,  and  the  strychnia  of  the  syrup  especially  indicates 
its  use  in  such  conditions ;  all  the  more  from  the  presence 
of  the  other  constituents,  which  constitute  the  combina¬ 
tion  one  peculiarly  adapted  to  such  senile  changes, 

But  partial  failure  of  the  heart’s  action  is  not  by  any 
means  always  the  result  of  the  grave  morbid  change 
here  described, — in  other  words,  “fatty  degeneration”; 
nor  indeed,  when  it  is,  does  there  attach  to  the  early 
stages  of  the  necrobiotic  change  the  grave  prognostic 
aspect  which  belongs  to  temporary  failure  in  the  later 
and  more  advanced  stages.  In  the  early  stages  the  line  of 
treatment,  medicinal  and  dietetic,  is  that  of  an  adynamic 
condition,  viz.,  suitable  food  and  agents  which,  acting 
through  the  nervous  mechanism  of  the  heart,  will  in¬ 
crease  the  energy  of  the  ventricular  contractions.  Very 
commonly,  however,  heart  failure  is  the  result  of  mal¬ 
nutrition  of  the  heart  not  dependent  upon  arterial  de¬ 
generation,  but  due  to  other  causes.  When  the  general 
nutrition  is  impaired,  the  heart,  in  unceasing  action,  is 
insufficiently  nourished  :  and,  as  a  consequence,  falters 
in  its  work.  Here  improvement  of  the  assimilation,  and 


FELLOWS'  SYRUP  OF  THE  LIYPOPHOSPHITES.  15 


better  general  nutrition  lead  to  a  fuller  supply  of  pabulum 
to  the  heart- walls,  with  the  result  of  more  energetic 
action  in  them.  The  symptoms  of  a  “badly-fed”  heart 
are  identical  with  those  of  a  “fatty”  heart  in  its  early 
stages  ;  and  their  treatment  also  is  identical.  In  both 
cases  improvement  can  be  set  up  by  appropriate  measures ; 
though,  of  course,  when  the  heart  is  the  seat  of  fatty 
degeneration  the  improvement  is  not,  and  cannot  be,  in 

i  / 

the  nature  of  things,  permanent.  Failure  of  the  heart’s 
action  in  persons  advanced  in  years  is  not  always  the 
result  of  the  arterial  degeneration  described  above  (which 
is  a  brief  abstract  of  what  is  stated  in  Dr.  Milner  Fother- 
gill’s  Treatise  “  The  Heart  and  its  Diseases  ”) ;  but  is 
more  commonly  due  to  a  condition  which  can  be  relieved 
by  remedial  agents,  viz.,  impaired  general  nutrition.  It 
is  by  no  means  unusual  for  this  remediable  condition  of 
heart-failure  to  be  mistaken  for  the  graver  condition 
of  fatty  degeneration  ;  a  mistake  which  too  frequently 
entails  an  attitude  of  hopelessness,  which  in  turn  inter¬ 
feres  with  the  adoption  of  remedial  measures. 

Yet  remedial  measures,  wisely  selected,  will,  in  some 
cases  of  heart  failure,  do  permanent  good  ;  while  in  the 
early  stages  of  fatty  degeneration  they  will  do  temporary 
good ;  and  even  when  an  advanced  condition  of  mural 
decay  is  obviously  established  they  are  not  entirely 
devoid  of  a  temporary  value. 


16  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


In  cases  of  neurosal  disturbance  of  tlie  heart’s  action, 
as  irregularity,  or  intermittency,  or  lowered  energy — 
otherwise  partial  syncope,— all  conditions  commonly 
seen  in  persons  advanced  in  years,  a  tonic  compounded 
of  various  agents  like  the  syrup  of  the  hypophosphites 
is  clearly  indicated.  Indeed,  in  all  cases  of  perverted 
action  of  the  heart,  the  syrup  is  well  worth  a  trial. 
Curable  cases  will  yield  to  it ;  cases  where  structural 
decay  may  be  suspected  will  often  be  found  to  improve 
under  its  use,  especially  if  the  fatty  degeneration  be 
neither  widespread  nor  far  advanced. 

There  are,  liowTever,  other  cardiac  conditions  than 
those  just  described  where  the  syrup  can  be  taken  with 
advantage.  More  extended  observation  has  done  much 
to  correct  the  impression  that  disease  of  the  valves  of 
the  heart  is  always  a  morbid  process  advancing  com¬ 
paratively  rapidly  from  bad  to  wrorse.  Many  persons 
with  a  certain  amount  of  injury  to  their  cardiac  valves 
attain  to  a  very  advanced  age.  The  injury  is  done, 
and  the  mutilated  valve  remains  as  unchanging  as  a 
scar ;  there  is  no  tendency  to  further  valve- change. 
Here  the  individual  is  crippled  to  a  certain  extent,  and 
a  comparatively  quiet  life  is  necessary  to  length  of 
days  ;  but  that  is  all.  Of  course,  where  such  an  injury 
exists,  any  failure  or  impairment  of  the  general  health 
is  apt  to  make  it  felt  ;  and  any'  mal-nutrition  of  the 


FELLOWS'  SYRUP  OF  THE  IIYPOPHOSPHITES.  17 


heart- wall  reveals  the  hidden  hurt.  Under  these 
circumstances  a  suitable  remedial  agent  is  of  great 
service  ;  not,  however,  in  any  way  undoing  the  valve- 
mutilation,  but  in  restoring  tone  to  the  failing  mus¬ 
cular  walls.  At  other  times  and  in  other  cases 
there  is  a  condition  of  dilatation  existing  in  the  cardiac 
chamber — sometimes  in  the  left  ventricle,  at  other 
times  only  in  the  right — limiting  the  patient’s  powers 
for  locomotion  or  other  exertion,  commonly  spoken 
of  as  a  “  weak  heart.”  Such  a  permanent  condition  is 
very  liable  to  be  felt  pronouncedly  when  the  general 
health  is  impaired,  as  by  intercurrent  indigestion, 
diarrhoea,  or  other  exhausting  malady.  But  in  these 
temporary  conditions  of  heart-failure  much  can  be  done 
to  restore  the  vigour  of  the  heart  by  suitable  food  and 
appropriate  remedial  agents.  Of  course,  rest — limiting 
the  demand  upon  the  heart — is  essential  to  the  recovery 
of  its  tone  ;  and  by  all  these  various  measures  combined 
a  very  great  deal  can  be  done  for  cases  too  commonly 
regarded  with  a  feeling  of  despair. 

Diseases  of  the  Respiratory  Organs.— Even  still 
more  constant  are  the  changes  wrought  in  the  respiratory 
organs  by  age.  The  cartilages  of  the  ribs  become  ossified ; 
a  matter  which  limits  the  mobility  of  the  thorax ;  the 
trachial  rings  from  like  change  become  rigid,  while 
the  lungs  themselves  waste  in  advanced  life,  and  the 

B 


18 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


bronchial  tubes  become  the  seat  of  the  rheum.  From 
these  circumstances  combined,  the  breath  is  short,  and 
any  exertion  entails  serious  respiratory  efforts.  The 
thoracic  case,  or  box,  becomes  immovable,  and  is  lifted 
up  bodily  by  the  respiratory  muscles  of  the  neck,  while 
the  diaphragm  descends  at  each  inspiratory  effort.  Con¬ 
sequently  flatulent  distension  of  the  abdomen — pressing 
on  the  heart  and  also  opposing  the  descent  of  the  dia- 

I 

pliragm — produces  much  distress  in  the  breath  in  these 
cases  of  thoracic  trouble.  There  are,  indeed,  many  morbid 
forces  at  work  to  embarrass  the  respiration  in  elderly 
persons.  Rokitanski,  the  great  pathologist,  writes 

“  The  impaired  state  of  the  respiratory  muscles  renders 
the  act  of  inspiration  difficult  and  imperfect ;  the  deficient 
contractility  of  the  pulmonary  tissues,  together  with 
the  above-named  muscular  weakness,  opposes  similar 
obstacles  to  the  act  of  inspiration,  while'  the  surface  of 
the  lungs  present  to  the  atmospheric  air  so  obliterated 
a  capillary  net-work,  that  only  a  small  quantity  of 
blood  can  be  submitted  to  the  vivifying  process  of  arte- 
rialisation.”  No  wonder  then  the  breath  is  short  in  a,ge  ! 

What  remedial  agent  will  most  efficiently  relieve  the 
patient  suffering  from  such  respiratory  embarrassment  ? 
One  which  will  act  directly  upon  the  respiratory  centre 
in  the  medulla  by  which  the  inspiratory  act  is  brought 
about,  is  the  answer  which  physiological  teaching  prompts. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  19 


Tlie  respiratory  centre  is  located  in  the  medulla,  and  what 
says  one  of  the  best  as  well  as  mpst  recent  authorities 
on  Materia  Medica  and  Therapeutics  ?  “  The  medulla 

is  stimulated  by  strychnia  in  all  its  important  centres. 
The  respiratory  centre  is  increased  in  activity,  and 
transmits  powerful  impulses  downwards  to  the  already 
excited  cord,  thus  causing  increased  frequency  and  depth 
of  the  movements  of  the  chest.” — (Dr.  Mitchell  Bruce.) 
An  agent  which  will  thus  stimulate  the  respiratory  centre 
and  enable  it  to  send  out  powerful  efferent  currents, 
throwing  not  only  the  ordinary  but  also  the  accessory 
muscles  of  respiration  into  energetic  action,  relieves  the 
patient,  who  is  suffering  under  respiratory  embarrass¬ 
ment,  even  from  direct  voluntary  effort.  By  its  means 
the  breathing  becomes  once  more  automatic,  and  fairly 
independent  of  voluntary  effort.  Relieved  from  the 
necessity  for  voluntary  effort  to  keep  up  the  respiration, 
the  patient  can  sleep  without  the  need  for  an  opiate. 
Such,  then,  is  what  modern  therapeutic  investigation 
tells  us  as  to  the  treatment  of  dyspnoea.  Rested  by 
sleep,  able  to  breathe  without  the  necessity  for  conscious 
effort,  the  patient  can  once  more  get  about  without  dis¬ 
comfort,  and  with  obvious  good  effect  upon  his  general 
health.  Improved  breathing  carries  with  it  more  perfect 
oxygenation  of  the  blood,  and  the  waste  matters  with 
which  the  blood  is  commonly  laden  in  age  are  thus  got  rid 

b  2 


20 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


of;  being  burnt  up  and  consumed.  Wliat  is  needed  in  all 
respiratory  embarrassment  is  more  perfect  respiratory 
movements,  and  tliese  can  be  excited  by  the  strychnia, 
which  forms  a  marked  constituent  of  this  syrup  :  the 
other  factors  contributing  to  the  good  effects. 

This  is  a  very  important  therapeutic  matter,  as  Dr. 
Maclaclilan  writes  ; — “  The  diseases  of  the  respiratory 
organs  are  at  all  periods  of  life  the  most  common  to 
which  man  is  liable.  As  age  advances,  some  of  these 
increase  in  frequence  and  fatality,  while  others  progres¬ 
sively  disappear.  Among  the  former,  bronchitis  and  its 
common  associate,  asthma,  are  peculiarly  prevalent. 
These  two  diseases  carry  off  immense  numbers  of  old 
people,  and  certain  varieties  of  them  almost  exclusively 
appertain  to  old  age.” 

All  demands  upon  the  respiration  are  badly  borne  by 
elderly  people,  and  even  slight  bronchial  attacks  in  those 
whose  respiratory  organs  are  already  seriously  impaired, 
are  fraught  with  an  element  of  danger.  A  teaspoonful 
of  the  syrup  every  three  or  four  hours  will  successfully 
tide  many  aged  persons  over  a  bronchial  seizure  to 
which,  without  it,  they  would  probably  succumb.  With 
the  lungs  already  the  seat  of  senile  marasmus,  and  the 
other  concomitant  morbid  conditions  alluded  to  above,  a 
slight  addition  to  the  respiratory  difficulty  becomes  a 
grave  matter  in  age. 


FELLOWS'  SYRUP  OF  THE  IIYPOPHOSPHITES.  21 


In  all  cases  of  respiratory  embarrassment,  whether 

due  to  pulmonic  congestion  taking  its  origin  in  a  lesion 

in  the  mitral  valve,  or  to  permanent  lung  or  bronchial 

trouble,  by  which  the  right  side  of  the  heart  is  distended 

and  embarrassed,  an  agent  which  will  so  improve  the 

/ 

breathing  as  to  render  it  once  more  automatic  and  inde¬ 
pendent  of  voluntary  effort  to  maintain  the  respiration  is 
of  incalculable  value  ;  and  such  an  agent  is  to  be  found 
in  the  Syrup  of  Hypophosphites.  Not  only  is  there 
present  in  it  an  agent  acting  directly  upon  the  nerve 
centres,  which  preside  over  the  circulation  and  respir¬ 
ation  ;  but  it  contains  a  considerable  quantity  of 
phosphorus,  in  a  form  readily  broken  up  by  the  digestive 
act,  and  so  furnishing  free  phosphorus  for  the  nutrition 
and  repair  of  these  over-taxed  discharging  nervous 
centres. 

Diseases  of  the  Nervous  System— “  Next  to 
diseases  of  the  respiratory  organs,  the  diseases  of  the 
nervous  centres  constitute  the  largest  number  of  admis¬ 
sions  of  an  important  nature  into  hospitals  allotted  to 
the  old,”  writes  Dr.  Maclaclilan.  By  this,  of  course,  is 
meant  grave  maladies  threatening  life.  But  outside  and 
beyond  such  serious  diseases,  there  are  a  host  of  minor 
troubles,  and  even  some  grave  morbid  changes  for  which 
admission  to  hospitals  is  not  usually  sought ;  nor  would 
it  be  of  much  avail  if  accorded.  “  Once  a  man  and  twice 


22 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


a  child,”  is  a  proverb  which  tells  in  the  briefest  speech  of 
the  gradual  evolution  or  “  unfolding  ”  of  the  brain  which 
goes  on  while  the  infant  develops  slowly  into  the  man — 
conscious  of  the  fulness  of  his  powers  ;  and  also  of  tliat 
involution  or  “infolding,”  which  follows  upon  maturity 
in  time  ;  and  which,  when  well-pronounced,  is  spoken  of 
as  “  dotage.”  Some  old  persons  retain  their  faculties  to 
the  end.  But  this  is  the  exception  not  the  rule  !  In  the 
bulk  of  cases  mental  impairment  becomes  manifest  when 
the  allotted  span  is  reached.  There  are  seen  petulance, 
querulousness,  garrulity,  caprice,  likes  and  dislikes,  which 

i 

tell  that  the  judgment  is  impaired,  even  when  the  in¬ 
tellect  still  seems  fairly  good.  The  higher  centres  which 
rule  the  rest  are  the  last  to  come  and  the  first  to  go. 
Consequently  the  tendency  is  for  the  impulses  once  more 
to  escape  from  the  control  of  the  will,  or,  in  other  words, 
the  character  becomes  modified — and  not  for  the  better. 

There  are,  too,  physical  changes  of  like  character  and 
corresponding  thereto.  The  ear  becomes  dull,  the  sight 
fails,  the  lissom  hand  begins  to  lose  its  cunning ;  the 
step  is  no  longer  springy,  the  carriage  is  less  erect. 
Locomotion  is  impaired  ;  the  breath  is  comparatively 
short ;  the  heart  is  feeble,  or  its  rhythm  is  affected  ;  the 
bowels  are  sluggish ;  and  the  viscera  lose  tone ;  while 
the  bladder  centres  grow  irritable.  Indeed,  the  sympa¬ 
thetic  or  organic  nervous  system,  like  the  cerebro-spinal, 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  23 


is  feeling  the  effects  of  coming  decay.  Nor  will  we  be 
surprised  at  these  results  when  we  reflect  upon  what  the 
scalpel  reveals. 

“  The  nervous  centres  waste,  harden,  and  lose  weight, 
and  the  nerves  participate  in  these  changes,”  writes 
Dr.  Maclaclilan  pithily.  The  nerves  participate  in  these 
changes,  and  Lobstein  has  observed  that  the  change  is 
marked  in  branches  of  the  sympathetic  nerve  ;  while 
Engel  found  the  ganglia  to  have  shrunk,  by  wasting  of 
the  ganglion-cells  ;  the  development  of  pigment  not  com¬ 
pensating  (in  bulk,  let  alone  functional  activity)  for  the 
cell-decay.  Such,  then,  are  the  anatomical  substrata  of 
the  alterations  which  may  be  observed  while  the  person 
is  living.  At  the  same  time  the  blood-vessels,  and 
especially  those  of  the  brain  proper,  undergo  their  own 
changes.  Their  arterial  walls  become  inelastic,  and  are 
either  calcareous  or  fatty  according  to  circumstances  ; 
in  either  case  the  blood-current  flows  less  freely  through 
the  brain,  while  the  artery  is  liable  to  be  easily 
ruptured  by  any  straining.  Consequently,  apoplexy  is 
more  common  as  life  wears  on  to  its  finish. 

The  diseases  of  the  nervous  system  in  age  are  due  in 
some  instances  to  changes  in  the  blood-vessels  rather 
than  in  the  nerve-tissues  themselves  ;  while  in  other 
cases  there  is  a  growth  of  connective- tissue,  or  the 
neuroglia,  that  curtails  the  true  nerve-tissues,  as  in  dis- 


/ 


I 


24  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


seminated  sclerosis,  otherwise  but  erroneously  spoken 
of  as  “  softening  of  the  brain,”  when  general  and  wide¬ 
spread  ;  or  there  is  a  local  growth  of  such  tissue  as  a 
tumour.  In  wide-spread  sclerosis  there  is  premature  loss 
of  muscular  power  and  intellectual  decay  combined ;  while 
in  ordinary  dotage  there  is  merely  a  withering  or  wasting 
of  the  brain ;  just  as  there  is  senile  marasmus  in  the  lungs. 

Such,  then,  are  the  changes  wrought  in  the  nervous 
system  by  the  oncome  of  age.  There  is  a  physical 
change  going  on  which  manifests  itself  in  lowered  func¬ 
tion  ;  there  are  alike  anatomical  changes  and  physio¬ 
logical  modifications  of  function ;  all,  however,  in  the 
direction  of  loss — of  diminished  capacity  and  structural 
degradation.  There  is,  indeed,  in  the  language  of  Hugh- 
lings  Jackson  a  general  involution,  a  sort  of  obsolescence 
creeping  over  the  nervous  system  in  all  its  parts. 

To  what  therapeutic  measures  do  these  morbid  states 
point  ?  Clearly  to  a  combination  which  contains  at 
once  nervine  tonics,  as  quinine  and  strychnine,  with  an 
hasmatic,  as  iron,  and  a  form  of  phosphorus  which  is 
unstable  and  so  readily  broken  up ;  and  this  last  is  found 
in  the  liypophosphorous  acid.  When  there  is  impaired 
nervous  energy,  whether  the  morbid  change  is  one  of 
wasting,  or  there  is  pressure  upon  the  encephalic  mass  as 
by  an  effusion  of  blood,  forming  a  clot,  the  proper  nutri¬ 
tion  of  the  nervous  system  is  the  cardinal  matter  to  be 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHPTES.  25 


ever  kept  in  view.  Not  only  is  the  cerebro-spinal  nervous 
system  affected,  but,  as  we  have  seen,  the  ganglia  and 
nerves  of  organic  life  are  implicated  in  this  structural 
decay  of  age,  and  so  the  different  viscera  are  enfeebled. 

General  Rules  for  the  Aged.— The  union  of  a 
nerve-food  (phosphorus)  with  nervine  tonics  (quinine 
and  strychnine)  is  what  is  to  be  desired  for  such  a 
widespread  change ;  no  matter  whether  some  more 
special  or  local  morbid  change  he  also  present,  or  not. 
By  the  use  of  easily  assimilable  food,  attention  to  the 
general  health,  including  such  exercise  as  is  suitable, 
and  the  steady  use  of  this  syrup,  many  elderly  people 
will  and  can  prevent  or  retard  the  advance  of  senility. 
And  this  it  is  which  Cicero  advocated  in  his  work  on  Old 
Age.  “We  must  make  a  stand  against  old  age,  and  its 
faults  must  he  atoned  for  by  activity  ;  we  must  fight,  as 
it  were,  against  disease,  and  in  like  manner  against  old 
age.  Regard  must  be  paid  to  health ;  moderate  exer¬ 
cise  must  he  adopted  ;  so  much  of  meat  and  drink  must 
be  taken,  that  the  strength  may  be  recruited,  not  op¬ 
pressed.  Nor,  indeed,  must  the  body  alone  be  supported, 
but  the  mind  and  the  soul  much  more ;  for  these  also, 
unless  you  drop  oil  on  them  as  on  a  lamp,  are  extin¬ 
guished  by  old  age.”  Shrewd,  sensible  remarks,  these  ! 
We  cannot  arrest  completely  the  oncome  of  age,  but  we 
can  retard  its  advances  ;  and  certainly  should  not  invite 


26 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


its  advent.  And  wliat  says  Hufeland  on  tlie  matter  in 
his  work  on  “  The  Art  of  Prolonging  Life  ?”  “It  needs 
not  be  objected  that  great  age  is  the  unnatural  state,  or 
an  exception  from  the  rule,  and  that  a  short  life  is 
perhaps  the  natural  condition.  Almost  all  those  kinds 
of  death  which  take  place  before  the  hundredth  year 
are  brought  on  artificially — that  is  to  say,  by  disease  or 
accident ;  and  it  is  certain  that  by  far  the  greater 
number  die  an  unnatural  death.” 

If  then  the  aged  could  be  protected  against  cold, — the 
generation  of  body-lieat  being  impaired  by  age  ;  if  they 
could  be  fed  on  nutritive  and  easily  digestible  food  ;  if 
they  could  be  secured  against  accident  :  in  other  words, 
if  they  could  be  placed  under  the  ideally  most  favourable 
circumstances,  greater  length  of  days  is  feasible  in  the 
bulk  of  cases.  Granting  that  all  this  can  be  managed, 
there  still  remains — what  can  be  done  for  them  by 
modern  knowledge  ?  The  nervous  system  decays  and 
needs  its  own  pabulum.  Phosphorus  is  essential  to  the 
formation  of  lecithin — the  phosphorized  fat  which  is 
the  food  of  the  nervous  system  par  excellence— and  this, 
in  a  desirable  form,  is  furnished  by  the  syrup  of  the 
hypophosphites ;  while,  beyond  the  phosphorus  it  con¬ 
tains  nervine  tonics  and  haematics.  It  is  not  claimed, — - 
it  is  not  essayed  here  to  attempt  to  claim,  for  the  syrup 
supernatural  powers;  but  merely  to  put  forward  dis- 


FELLOWS'  SYRUP  OF  THE  1IYP0PH0SPHITES.  27 


tinctly  and  clearly  its  claims  to  be  regarded  as  a 
combination  peculiarly  adapted  to  the  requirements  of 
advanced  life.  The  reasons  for  thinking  it  adapted  to  the 
peculiar  wants  of  the  old  have  been  given,  and  will  be 
found  sufficient  to  warrant  the  opinion  put  forward. 

To  attempt  to  classify  the  nervous  maladies  of  old  age 
and  to  give  the  management  of  each  would  only  unduly 
swell  the  size  of  this  pamphlet  without  adding  to  its 
value.  The  great  matter  to  be  grasped  is  essentially 
the  treatment  indicated  by  what  we  observe  in  life,  and 
what  is  revealed  in  the  dead-house  as  to  the  changes 
wrought  by  age.  It  stands  out  clearly  before  us.  We 
must  get  these  people  to  husband  their  powers,  and  yet 
not  to  lead  too  sedentary  a  life  by  which  the  already 
imperfect  oxidation  and  removal  of  waste  products  is 
favoured.  Also  by  a  suitable  dietary  to  avoid  the  ac¬ 
cumulation  of  waste  products  in  the  blood.  Then  to 
administer  remedial  agents  which  will  feed  the  nervous 
tissue  so  as  to  keep  at  bay  that  widespread  deteriora¬ 
tion  of  it  which  age  brings  with  it.  These  principles 
apply  to  all  cases ;  and  that  hebetude  which  creeps 
slowly  over  the  old  is  to  be  borne  in  mind — no  matter 
what  the  special  ailment  complained  of,  or  the  symp¬ 
toms  for  which  relief  is  sought.  Senile  degeneration  is 
the  main  fact  to  bear  in  mind  in  dealing  with  aged 
persons.  The  tissues  are  comparatively  easily  injured,. 


28 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


while  repair  is  tardy  and  often  imperfect.  The  great 
matter  then  is  to  take  such  measures  and  precautions 
as  shall  -\vard  off  any  positive  malady,  and,  so  far  as  lies 
in  our  power,  to  prevent  what  we  cannot  cure.  The 
whole  viscera  are  structurally  impaired  by  the  wasting 
of  their  proper  elements,  and  the  growth  of  their  con¬ 
nective-tissue  ;  in  other  words  a  general  visceral  cirrhosis 
is  developed,  by  which  their  functional  activity  is  impaired 
and  consequently  the  demand  upon  them  must  be  re¬ 
duced  to  their  capacities.  They  are  not  in  a  condition  to 
bear  strain,  or  tolerate  injury  or  demand  upon  them. 
It  becomes  most  desirable  to  maintain  the  health  and 
vigour  so  far  as  this  may  be  done,  and  no  medicinal 
combination  yet  devised  will  be  found  to  serve  this 
desirable  end  so  well  and  so  effectually  as  the  syrup  of  the 
hypophosphites  offered  to  the  world  by  Mr.  Fellows.  At 
least  this  is  his  sincere  belief,  and  in  corroboration  of 
what  is  written  here  he  begs  to  offer  to  his  readers  the 
following  letters,  as  a  few  of  the  large  number  which 
have  been  addressed  to  him  on  the  subject. 

Before  proceeding  to  do  so,  however,  he  must  draw 
attention  to  one  particular  subject,  and  that  is  that  not 
unfrequently  he  receives  complaints  that  certain  skin- 
troubles  seem  to  be  increased  by  the  use  of  the  syrup,  such 
as  eczema  scroti  for  instance.  There  is  no  doubt  that  at 
times  such  is  the  case ;  but  if  there  is  an  increase  of  local 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  21> 


irritation  it  is  more  than  compensated  for  by  the  improve¬ 
ment  of  the  general  health.  MacLachlan  states  that 
where  cutaneous  discharges  have  existed  for  some  time 
and  then  dried  up  amongst  his  aged  patients  at  the 
Chelsea  Hospital,  applications  have  frequently  been  made 
to  him  to  reinstitute  them  as  being  useful.  In  speaking 
of  eczema  he  writes:  “That  the  eruption  is  occasionally 
and  not  unfrequently  salutary  there  can  be  no  doubt, 
and  the  cure  of  chronic  eczema  is  sometimes  succeeded, 
as  in  other  chronic  cutaneous  symptoms,  by  severe  pec¬ 
toral  ailments,  and  still  more  alarming  cephalic  symp¬ 
toms,  vertigo  and  apoplexy  itself.”  There  are  then  some 
matters  which  are  “best  out,”  and  there  certainly  are 
some  cutaneous  matters  which  apparently  are  aggravated 
by  the  use  of  the  syrup,  of  which  this  is  true.  Probably 
however  these  very  eruptions  exercise  a  beneficial  effect 
upon  the  general  health. 

From  experience  covering  many  years  in  the  use  of 
his  Hypophospliites,  Mr.  Fellows  begs  to  remind  the 
profession  of  its  higher  utility  when  united  with  Cod 
Liver  Oil  in  an  emulsion,  as  directed  on  p.  72.  Not  only 
are  the  nutritive  and.  tonic  properties  very  much  in¬ 
creased  thereby,  but  the  oil  is  converted  into  a  'palatable 
food.  In  this  form  a  surprisingly  beneficial  effect  is 
produced  upon  the  general  health  of  the  aged.  This  is 
particularly  apparent  in  cases  of  bronchial  difficulty. 


.30  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CLX. 

From  S.  A.  Kelley,  Esq.,  M.D. 

Rileyville,  Pa.,  U.S.A., 
Dear  Sir,  Dec.  19,  1880. 

,  I  prescribed  your  Hypophospliites  to  Mrs. - , 

set.  52,  wife  of  a  wealthy  farmer.  She  had  previously 
two  severe  attacks  of  “  pleuro-pneumonia,”  last  April 
typhoid  fever  and  oedema  of  the  lungs,  since  which  she 
has  never  seemed  compos  mentis.  Constantly  troubled 
by  some  Phantasm  or  Hallucination,  and  at  the  same 
time  fretful,  without  energy,  and  a  desire  for  self- 
destruction,  as  life  was  to  her  a  terrible  burden. 
Happily,  all  these  troubles  have  disappeared  since  she 
began  the  use  of  the  Hypophospliites,  and  she  appears 
to  be  fully  restored  to  health. 

S.  A.  KELLEY,  M.D* 

To  Mr.  Fellows. 


CLXI. 

From  John  Lake,  Esq.,  M.D. 

Rehobeth,  S.C.,  U.S.A. 

Dear  Sir,  4  July ,  1881. 

Some  time  ago  I  began  using  your  Hypophos- 
phites,  and  with  the  most  happy  results.  My  whole 


FELLOWS'  SYBUP  OF  THE  HYPOPHOSPHITES.  31 


system  was  prostrated  by  “Chronic  Diarrhoea,”  to  which 
I  had  been  a  victim  since  the  late  war,  and  was  running 
down  very  rapidly  when  I  began  its  use  ;  it  has  fulfilled 
every  promise  made  in  your  circular.  My  bowels  are  in  a 
better  condition  than  for  many  years,  the  muscular  and 
nervous  tissues  built  up  and  strengthened  far  beyond  my 
hopes.  I  believe  your  Syrup  of  Hypophosphites  will 
soon  become  a  standard  prescription  in  Nervous  and 
General  Debility.  Great  precautions,  however,  should 
be  taken  to  prevent  its  being  counterfeited.  Thanking 
you  for  the  great  benefit  I  have  derived, 

I  am,  Sir, 

Yours  truly, 

JOHN  LAKE,  M.D. 


CLXII. 

From  R.  D.  Purefoy,  Esq.,  M.B.T.C.D.,  F.R.C.S.I., 
Obs.  Surg.  Adelaide  Hosp.,  Lee.  on  Mat.  Med.  Led. 
Sch.  Med. 

18,  Merrion  Sq.,  Dublin, 
19,  Sept.,  1884. 

I  have  frequently  had  recourse  to  the  use  of  Fellows’ 
Hypophosphites  in  cases  of  debility,  especially  when 


32 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


attendant  on  chronic  uterine  diseases,  and  believe  it  fully 
deserves  the  encomiums  so  widely  bestowed  on  it. 


R.  D.  PUREFOY. 


CLXIII. 

Translation  of  a  letter  from  Dr.  Bruno  Bayona. 

Ablitas,  Navarra,  Spain, 
7  June ,  1884. 

Dear  Sir, 

With  great  satisfaction,  I  have  used  your  Syrup 
of  Hypopliospliites  in  a  case  of  bronchial  asthma ; 
indeed,  I  have  seen  verified  all  that  you  promised  us, 
and  have  great  pleasure  in  telling  you  that  your  Syrup 
replaces  with  great  advantages  all  remedies  which  we 
have  used  in  cases  of  this  kind.  It  stopped  the 
paroxysms  and  brought  about  tranquility  of  sleep, 
sleeplessness  troubling  my  patient  most  before  she 
took  the  Syrup. 

Yours  truly, 

BRUNO  BAYONA,  M.D. 

Mr.  Jas.  I.  Fellows,  London. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  33 


CLXIV. 

From  Dr.  D.  J.  King. 

Kio  de  Janeiro,  Brazil, 

12  Aug.,  1884. 

Dear  Sir, 

When  the  vital  powers  are  lowered  by  long 
residence  in  this  country,  I  have  prescribed  (and  con¬ 
tinue  to  do  bo)  your  Syrup  of  Hypophosphites  with 
marked  benefit.  I  find  it  a  good  tonic  for  European 
children  also. 

Yours  very  truly, 

D.  J.  KING,  M.D. 

Mr.  Jas.  I.  Fellows,  London. 


CLXY. 

From  Wm.  R.  Goodfellow,  M.R.C.S.,  L.S.A. 

Roche,  Cornwall,  England, 

/  28  Aug.,  1884. 

Mr.  James  I.  Fellows. 

Dear  Sir, 

Your  Syrup  has  been  used  for  some  time  in  my 
practice,  and  I  am  pleased  to  say  with  extremely  satis¬ 
factory  results  ;  indeed,  I  have  succeeded  (whilst  pre¬ 
scribing  it)  in  cases  when  the  administration  of  the 

C 


34  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


various  ingredients  of  your  Syrup  in  uncombined  form 
have  signally  failed,  and  now  I  invariably  use  your 
formula  and  believe  that  it  assimilates  better. 

It  has  proved  with  me  to  be  most  efficacious  in  all 
cerebral  and  general  affections  of  the  nervous  system. 

My  rule  is  to  abstain  from  giving  testimonials,  this 
being  the  only  exception,  but  I  consider  that  the  subject 
merits  this. 

Yours  truly, 

Wm.  e,  goodfellow. 


CLXVI. 


From  Charles  Fairfax  Nursey,  Esq.,  L.B.C.P.Ed., 

L.M.,  L.F.P.S.Glas. 

1,  Cambridge  Terrace, 

Talham  Street, 

Sunderland,  England. 


Dear  Sir, 

I  have  used  your  preparation  with  much 
success,  particularly  in  the  case  of  my  own  son,  a  boy 
about  nine  years  of  age,  who  for  some  time  has 
suffered  from  anaemia,  general  weakness  and  lassitude, 
due  to  threatened  spinal  curvature.  I  gave  him 
frequent  doses  of  your  Syrup,  which  in  a  short  time 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  35 


restored  his  strength.  I  should  prescribe  your  remedy 
oftener  than  I  do,  if  the  price  would  allow  my  patients 
to  purchase  it,  yet  I  order  it  because  it  is  a  valuable 
compound,  far  better  than  anything  of  the  kind  in  the 
Pharmacopeia. 

I  am,  yours  very  truly, 
CHARLES  FAIRFAX  NURSEY. 


clxvii: 

From  A.  E.  Abrams,  Esq.,  M.D. 

/  _  | 

164,  High  Street, 

Hartford,  Connecticut,  U.S.A., 

Oct.  8,  1884. 

James  I..  Fellows,  Esq. 

Dear  Sir, 

The  Syrup  Hypophos  Co.  (Fellows')  has  proved 
of  great  benefit  to  my  wife.  It  strongly  confirms  my 
experience  of  its  value  during  the  past  two  years. 

Yours  truly, 

A.  E.  ABRAMS. 


86 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CLXVIII. 

From  E.  Jay  Fisk,  Esq.,  M.D. 


75,  Third  Street, 

Troy,  New  York, 

Oct.  6,  1884. 

James  I.  Fellows,  Esq. 

Dear  Sir, 

I  dispense  your  Syrup  Hypoplios,  Comp,  and 
now  use  no  other,  as  I  claim  and  prove  your  Syrup  to 
have  no  equal. 

Yours  truly, 

E.  JAY  FISK. 


CLXIX. 

From  Gf.  A.  Bjoerkman,  Esq.,  M.D. 

61,  Camden  Street, 

Boston,  Mass.,  U.S.A., 

December  25,  1884. 

James  I.  Fellows,  Esq. 

Dear  Sir,  \ 

I  am  exceedingly  pleased  with  the  effect  of  your 
Syrup,  and  would  find  it  difficult,  now  I  have  learnt 
its  merits,  to  do  without  it.  It  is  not  equalled  by  any 
preparation  of  its  kind. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  37 


I  liave  two  interesting  cases  to  report.  First  case, 
Hans  Mortensen,  a  Swede,  age  24,  fell  from  a  height  of 
40  feet,  breaking  his  fall  by  striking  against  a  balcony. 
He  suffered  from  concussion  of  the  brain,  and  probably 
of  the  spine,  as  the  result  of  the  fall ;  also  three  scalp 
wounds  and  a  sprained  wrist.  The  external  wounds 
healed  rapidly  under  appropriate  treatment,  but  he 
grew  weaker  day  by  day,  lost  weight,  and  suffered  from 
constipation.  I  tried  various  courses  of  treatment — 
Iron,  Quinine,  Bark,  &c.,  but  he  got  steadily  weaker, 
and  three  months  after  the  accident  could  do  little  but 
lie  about  on  a  lounge.  I  then  tried  a  course  of 
electricity  with  strychnine  internally,  but  to  no  pur¬ 
pose.  It  at  last  occurred  to  me  to  try  your  Syrup,  and 
I  commenced  with  one  teaspoonful  three  times  a  day 
with  his  meals.  I  used  no  other  treatment,  and  very 
soon  there  was  marked  improvement,  the  appetite 
returning  and  vitality  increasing.  After  two  weeks’ 
treatment  he  began  to  increase  in  weight  at  the  rate  of 
about  1  lb.  a  week.  At  the  end  of  three  months  he 
declared  himself  to  be  stronger  and  healthier  than  he 
had  ever  been.  He  now  weighs  158  lbs.,  his  highest 
weight  at  any  time  previous  to  the  accident  not  having 
exceeded  146  lbs. 

I  can  truly  say  that  I  owe  not  only  the  recovery  but 
the  life  of  this  man  to  the  valuable  properties  of  your 


38 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


Syrup,  which  has  also  been  of  incalculable  service  to> 
me  in  the  treatment  of  many  cases  of  anaemia  and 
pulmonary  disease. 

It  is  an  excellent  prophylactic  to  take  in  districts 

t 

where  there  is  bad  drainage. 

As  an  instance,  I  quote  a  family  who  lived  in  such  a 
district,  and  who  one  and  all  suffered  from  constant 
sore  throats  and  gastric  irritation.  Since  they  have 
taken  your  Syrup  they  have  been  entirely  free  from  the 
above  troubles  and  have  grown  much  stronger. 

I  remain,  dear  Sir, 

Yours  very  truly, 

G.  A.  BJOERKMAN. 


CLXX. 

From  J.  W.  Jordan,  Esq.,  M.D. 

Black  Hawk,  Missouri, 

January  9,  1885." 

James  I  Fellows,  Esq. 

Dear  Sir, 

I  have  used  your  Syrup  Hypoplios.  Co.  for  twe 
years  with  the  happiest  results.  I  have  found  it  to  be 
especially  beneficial  in  the  incipient  stage  of  Phthisis 
Rulmonalis,  in  Bronchitis,  and  in  all  cases  of  nervous 


I 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  39 


debility.  I  consider  it  highly  beneficial  in  chronic 
wasting  diseases. 

Yours  truly, 

J.  W.  JORDAN. 


CLXXI. 

From  J.  Harmison^  Esq.,  M.D. 

Cuba,  Dec.  15,  1884. 

James  I.  Fellows,  Esq., 

Dear  Sir, 

About  a  fortnight  ago  I  received  and  read 
your  valuable  treatise,  part  4.  I  have  used  your 
Syrup  Hypop.  Co.  for  about  three  years  in  incipient 
Phthisis,  and  other  forms  of  lung  mischief.  For 

t  „  i 

instance,  my  own  mother,  who  was  suffering  from 
Fibroid  Phthisis,  and  whose  case  was  adjudged  hopeless, 
all  the  ordinary  remedies  having  proved  futile,  recovered 
under  treatment  by  your  Syrup.  Another  case  of 
severe  lung  disease  following  measles  was  treated 
similarly,  with  favourable  results.  I  might  .multiply 
cases,  but  it  is  useless.  I  think  your  remedy  the  most 
valuable  for  the  purposes  claimed  for  it  that  can  be 
obtained. 

Yours  truly, 

J.  HARMISON. 


40 


SOME  CONDITIONS  OF  ADVANCED  LIFE . 


CLXXII. 


(Translated) . 


From  Sig.  V.  Guzman,  M.D. 

Granada,  Spain, 
Feb.  7,  1885. 


James  I.  Fellows,  Esq. 

Dear  Sir, 

iv 

I  have  pleasure  in  stating  that  I  have  used 
your  Syrup  several  times  in  cases  of  Insomnia,  due  to 
an  irritable  condition  of  the  brain,  and  always  obtained 
good  results.  I  consider  the  Syrup  a  valuable  nervous 
and  alimentary  tonic. 


Yours  truly, 

V.  GUZMAN. 

V 


CLXXIII. 

From  J.  A.  Exton,  Esq.,  M.D. 

Secretary  of  the  Hudson  Medical  Society,  New  Jersey. 

■  Beech  Street,  Corner  Oakwood  Avenue, 

Arlington,  New  Jersey,  U.S.A. 
James  I.  Fellows,  Esq. 

My  Dear  Sir, 

I  have  been  intending  to  write  to  you  for  some 
time,  to  add  my  mite  in  praise  of  your  valuable 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  41 


f  preparation,  (Syrup  Hypoplios.  Co.)  I  have  used  it  in 
tubercular  infiltration  of  the  lung  many  times,  with  the 
most  satisfactory  results  ;  also  in  abscess  of  the  lung. 
It  is  a  valuable  adjutant  to  cough  mixtures. 

As  a  remedy  in  the  treatment  of  mental  and  nervous 
diseases  it  is  all  that  is  claimed  for  it. 

In  the  convalescent  stage  of  Pneumonia,  in  fact 
during  the  whole  course  of  the  disease,  its  use  is  by  me 
never  omitted. 

Very  truly, 

J.  A.  EXTON, 


CLXXIV. 

From  Josiah  Paull,  Esq.,  M.R.C.S.,  L.S.A. 

Camborne,  Cornwall, 

April  11,  1884. 

Mr.  Jas.  I.  Fellows. 

Dear  Sir, 

I  have  wished  to  write  you  respecting  your 
Syrup  Hypoplios.  Co.  for  some  time,  which  I  have  . 
found  particularly  beneficial  in  several  cases  of  lung 
disease. 

In  one  case  especially  the  benefit  derived  was  extra¬ 
ordinary.  I  firmly  believe  this  patient  would  have 


42  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


succumbed  long  ere  this  from  exhaustion  but  for  the 
Hypophosphites,  because  his  nervous  system  was  com¬ 
pletely  shattered  and  his  digestion  sadly  impaired. 

I  have  myself  taken  it  with  benefit. 

I  am,  yours  very  truly, 

JOSIAH  PAULL. 


CLXXV. 

Translation  of  letter  from  Db.  Cesaee  Capbena, 

Campo  Basso,  Civita  Campo  Maeino,  Italy. 

20 th  May ,  1885. 

Mr.  James  I.  Fellows. 

Sib, 

I  have  pleasure  in  informing  you  that  having 
employed  your  Syrup  of  Hypophosphites  for  about  three 
years,  I  have  had  ample  opportunities  of  observing  its 
effects,  and  declare  it  to  be  a  grand  preparation  fur¬ 
nished  to  humanity  by  chemical  science. 

I  will  state  briefly  that  your  Syrup  of  Hypophos¬ 
phites  has  been  of  positive  benefit  in  Chronic  Bron¬ 
chitis,  in  the  first  and  second  stages  of  Phthisis, 
Anaemia,  and  nervous  exhaustion  of  the  brain. 


■'  '  '  \  ' 

FELLOWS'  SYRUP  OF  THE  HYP OPH OSPHFTES .  43 


For  those  diseases  of  children  for  which  it  is  recom¬ 
mended,  there  is  no  remedy  equal  to  it. 

I  can  say  truly  that  in  my  professional  experience  of 
half  a  century  I  have  not  found  so  satisfactory  a 
remedy.  In  fact,  your  preparation  is  beyond  praise. 

I  am,  Sir, 

Yours  very  truly, 

CESAEE  CAPEENA. 


CLXXYI. 

V  » 

From  Thomas  Hill,  Esq.,  L.E.C.S.Ed.  &  L.M. 

176,  Oakfield  Eoad, 

Anfield  Park, 
Liverpool,  England. 

Dear  Sir, 

Your  valuable  Syrup  of  the  Hypophospliites  is 
to  me  an  inestimable  treasure  in  a  large  number  of 
cases  ;  my  sheet-anchor  in  nervous  debility. 

May  I  request  you  to  send  me  your  treatises. 

I  am,  dear  Sir, 

\ 

Yours  faithfully, 

THOMAS  HILL. 


44 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CLXXVII. 

Letter  from  Samuel  Maughan,  Esq.,  M.K.C.S. 

Bognor,  Sussex,  England. 

20 th  January ,  1884. 

Mr.  Jas.  I.  Fellows. 

SYBUP  HYPOPHOS.  (FELLOWS). 

Sir, 

The  first  case  in  which  I  had  an  opportunity  of 
prescribing  the  above  was  in  one  of  Infantile  Paralysis 
of  the  lower  extremities  in  a  boy  of  about  three  years 
of  age.  The  treatment  adopted  was  galvanism  and  the 
internal  administration  of  the  Syrup.  The  general 
health  rapidly  improved,  and  in  due  time  nutrition  and 
power  were  restored.  From  time  to  time  I  discontinued 
the  Syrup,  continuing  the  galvanism ;  in  a  few  days  I 
discovered  a  diminution  of  tone. 

The  second  case  was  in  that  of  an  elderly  lady  con¬ 
valescing  from  Bronchial  Pneumonia,  mainly  as  a 
nutrient.  The  benefit  was  very  marked ;  her  general 
healthy  condition  speedily  improved,  and  her  lung  mis¬ 
chief  cleared  up.  I  continued  its  use  for  some  months, 
as  I  found  my  patient  had  an  unreduced  dislocation  at 
the  shoulder  joint  of  long  standing.  Her  nervous  and 
muscular  tone  increased  considerably,  and  with  proper 
exercises  she  acquired  fair  use  of  her  arm. 

The  third  case  was  in  that  of  a  strumous  girl  of  about 


FELLOWS'  SYRUP  OF  TILE  HYPOPHOSPHITES.  45 


13  years  of  age,  with  enlarged  glands  of  the  neck  and 
general  cachectic  conditions,  whose  family  were  always 
under  my  care.  She  built  up  marvellously  under  treat¬ 
ment,  the  enlarged  glands  gradually  disappeared,  and 
she  lost  her  cough  from  which  she  had  previously 
suffered.  I  subsequently  treated  an  infant  in  the  same 
family  suffering  from  Marasmus  with  most  satisfactory 
results  ;  in  fact,  I  might  add  that  since  that  date  I 
have  prescribed  it  largely  in  my  practice  in  similar 
cases  to  the  above,  in  many  uterine  and  in  nearly  all 
cases  of  deficient  nervous  tone. 

I  am,  Sir,  yours  faithfully, 

SAMUEL  MAUGHAN. 


CLXXVIII. 


Letter  from  A.  E.  Procter,  Consulting  Surgeon, 
Darjiling,  and  Himalayan  Eailway. 
Colinton  Sanatorium,  Darjiling,  India, 

July  30,  1884. 

James  I.  Fellows,  Esq., 

Sir, 


In  reply  to  your  communication,  I  have  pres¬ 
cribed  the  Syr.  Hypoplios.  Co.  (Fellows)  for  many  years,, 
both  in  the  East  and  West  Indies,  and  experience  lias- 


46 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


convinced  me  that  it  is  Pharmacologically  superior  to 
any  other  preparation  of  the  Hypopliosphites. 

The  neutral  reaction  of  the  Syrup,  and  the 
stability  of  'the  solution  of  Strychnine  (so  that  it  is 
never  precipitated)  are  characteristics,  the  importance 
of  which  cannot  be  over-estimated.  The  danger  of 
giving  unscientifically  prepared  or  prescribed  combi¬ 
nations  of  drugs  containing  a  powerful  poison  has  been, 
unfortunately,  too  often  demonstrated,  and  the  acid 
reaction  of  the  usual  Syrups  of  the  Hypopliosphites 
has  been  a  bar  to  their  use  in  those  cases  where  acids 
are  contra-indicated. 

You  ask  me  in  what  class  of  cases  I  have  used 
the  Syrup  ?  I  have  not  time  to  enter  into  details,  but 
will  state  briefly  that  the  cases  in  which  I  have 
prescribed  your  Syrup  with  the  most  beneficial  results 
are  in  those  of  an  adynamic  or  cachetic  type,  due  either 
to  disease  or  environments,  or  habits  tending  to  lower 
the  vital  powers.  As  a  counteractant  of  the  depressing 
and  debilitating  effects  of  a  tropical  climate,  it  stands 
per  se. 

It  is  a  valuable  prophylactic  and  tonic  in  malarial 
districts,  and  of  marked  utility  as  a  tonic  in  tropical  hill 
stations,  in  that  it  increases  the  powers  of  assimilating 
oxygen,  deficient  in  the  air  at  these  altitudes. 

Its  composition  indicates,  and  its  effects  prove  it 


7 


FELLOWS'  SYRUP  OF  THE  IIYPOPHOSPHITES.  47 


to  be.  a  restorative  of  brain  and  nerve  tissue,  winch  is, 
in  the  hurry  and  anxiety  of  modem  life  so  prodigally 
wasted. 

Yours  truly, 

A.  E.  PROCTER. 


CLXXIX. 

Letter  from  Percival  H.  Watson,  Esq.,  L.R.C.P., 
Lond.,  M.R.C.S.,  Eng. 

64,  Jesmond  Street, 

Newcastle  -  on-  T  yne  , 

England,  June  24,  1885. 

Mr.  J.  I.  Fellows. 

Dear  Sir, 

I  have  much  pleasure  in  stating  that  I  have 
formed  a  very  high  opinion  of  your  Syrup  of  the  Hypo- 
phosphites. 

I  have  used  it  extensively  in  a  great  variety  of 
diseases,  and  have  always  been  pleased  with  the  results. 
It  agrees  with  the  most  delicate  stomach,  and  can  be 
taken  for  long  periods  by  patients  who  cannot  take 
oven  half-grain  doses  of  quinine  without  producing 
unpleasant  symptoms.  This  I  have  repeatedly  proved. 
I  have  tried  several  imitations  of  your  syrup,  but 


48 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


they  are  neither  so  palatable  nor  so  efficacious  as 
yours,  and  most  of  them  throw  doAvn  a  suspicious  deposit 
on  standing,  so  that  I  was  afraid  to  use  the  last  three 
or  four  ounces  left  in  the  bottles. 

In  a  case  of  Epileptic  Neuralgia  in  a  lady,  aged 
sixty- three,  I  was  much  pleased  with  its  effect,  as  the 
patient  greatly  improved  whilst  taking  it. 

Yours  truly, 

PEKCIVAL  H.  WATSON. 


( Translated  from  the  French) 

From  Mons.  le  Docteur  Mca.  Bouedera,  a  Vic-Fezensac, 

dep  Gers,  France. 

5  March ,  1885. 

Sir, 

Mr.  Fellows  has  invented,  without  perhaps 
himself  suspecting  it,  the  best  tonic  known  up  to  the 

present  time.  The  Hypopliosphites  of -  have  not 

maintained  their  reputation,  owing  to  some  defect  in  the 
composition  or  preparation,  which  did  not  assure  long 
continued  relief.  I  am  happy  to  tell  you  that  I  consider 
Mr.  Fellows’  preparation  as  the  greatest  benefit  obtained 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  49 


by  modern  therapeutic  science.  My  personal  experience 
of  its  use  has  indubitably  confirmed  me  in  this  opinion. 
The  effects  are  speedy  and  lasting,  as  it  acts  upon  the 
great  sympathetic  gastric  nerves,  in  promoting  digestion 
and  facilitating  the  action  of  the  lungs. 

It  has  no  special  influence  upon  the  kidneys  and 
bladder. 

I  am,  Sir,  &c., 

Mca.  BOURDERA. 

To  Mons.  B - 

Paris,  France. 


CLXXXI. 


(. Translated  from  the  French). 
From  Monsieur  le  Docteur  Peud’homme. 


14,  Boulevaed  Poissonnieee, 
Paeis,  April  3,  1885. 

SlE, 

I  have  experimented  with  your  Syrup  of  Hypo- 
phosphites,  and  can  testify  to  the  excellent  results 
obtained. 

I  am,  Sir,  &c., 

De.  PEUD’HOMME. 


Mons.  James  I.  Fellows, 
London. 


f 


< 


50  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CLXXXII. 

(Translated  from  the  French). 

From  Monsieur  le  Docteur  Mora,  Doctor  of  Medicine 
of  the  faculty  of  Paris,  Medical  Inspector  of  Children. 

Laureated  by  several  learned  Societies. 

A  Brunchamel,  Dep.  Aisne, 

May  2,  1885. 

Sir, 

(SYKUP  HYPOPHOSPHITES  FELLOWS.) 

The  use  of  this  preparation  has  been  followed  by 
excellent  results  in  many  cases  of  pulmonary  phthisis  ; 
patients  take  it  readily — an  immense  advantage  over 
most  other  medicines — and  its  use  can  be  continued  for 
a  considerable  length  of  time. 

Under  its  influence  the  cough  becomes  less 
trying,  and  the  expectoration  easier  and  more  abundant. 
The  composition  of  Fellows’  Syrup  is  based  upon  positive 
physiological  data,  and  will,  I  am  convinced,  meet  with 
a  most  favourable  reception  from  the  medical  profession. 
In  my  opinion,  it  is  the  best  remedy  that  can  be 
prescribed  in  cases  of  tubercular  consumption,  general 
debility,  anaemia  and  scrofula.  Of  this  resume  of  my 
recent  experiences,  you  are  at  liberty  to  make  any  use 
you  please. 

I  am,  Sir,  &c., 

Dr.  MORA. 

Mons.  James  I.  Fellows,  London. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  51 


CLXXXIII. 

( Translated  from  the  French ). 

From  Mons.  le  Docteur  Riterolles,  of  the  Faculty  of 
Paris,  formerly  House-Surgeon  at  the  Hospital  of 
Clermont — Ferrand. 

La  Bourboule,  France, 

4  June ,  1885. 

Sir, 

As  medical  men  should  contribute  towards  the 
adoption  of  anything  tending  to  the  relief  and  comfort 
of  the  sick,  permit  me  to  add  my  tribute  to  that  of  my 
medical  brethren  who  have  prescribed  your  Hypophos- 
phites. 

Having  made  a  number  of  observations  in  your 
favour,  I  am  quite  ready  to  communicate  them. 

These  observations  relate  to  diseases  which  have 
been  treated  at  La  Bourboule  by  arsenical  preparations 
simultaneously  with  your  Syrup  of  Hypophospliites. 
I  can  confidently  say  that  in  nearly  every  case  the 
results  have  been  marvellous,  and  much  superior  to 
those  obtained  by  arsenical  remedied  alone.  My  opinion 
on  this  point  is  very  decided. 

The  employment  of  your  preparation  of  the  Hypo- 
phosphites  with-  the  arsenical  remedies  appears  to  me 
to  be  the  only  efficacious  treatment  in  Chlorotic 

D  2 


52  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


Anemia,  Scrofula  in  all  its  forms,  and  organic  affections 
of  the  lungs.  The  two  remedies  employed  at  different 
times  have  not  proved  so  effectual  in  my  hands. 

I  am,  &c., 

Dr,  RITEROLLES. 

Mons.  James  I.  Fellows, 

London . 


EXTRACTS  FROM  PHYSICIANS’  LETTERS 
REFERRING  TO  FELLOWS’  HYPO- 
PHOSPHITES. 


CLXXXIY.  Acted  charmingly  with  a  lady  patient 
suffering  from  Pulmonary  Tuberculosis. 

Irvine  W.  Gilkeson,  M.D. 


21  Sept.,  1881. 


Mint  springs,  Augusta  Co., 

Va.,  U.S.A. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  53 


CLXXXY.  Using  it  in  three  cases,  an  old  man, 
eighty  years,  with  Neuralgia,  and  two  young  ladies,  all 
improving. 

A.  Neely,  M.D., 

4  Aug.,  1881.  Smitlitown,  W.  Va.,  U.S.A. 


CLXXXYI. 

ably. 


Your  Hypophospliites  is  working  admir- 
B.  G.  Cooke,  M.D., 


24  Oct.,  1880.  117,  E.  91  Street,  New  York  City. 


CLXXXVII.  Superior  to  anything  of  the  kind  that 
I  have  ever  seen. 

\V.  L.  Ivelsey,  M.D., 

24  Aug.,  1881.  Willington,  Connecticut, 

U.S.A. 


CLXXXVI1I.  I  believe  it  a  good  preparation. 

J.  G.  A.  Dick,  M.D., 
Red  Banks,  N.  C.,  U.S.A. 


10  Mar.,  1881. 


54  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CLXXXIX.  I  think  it  an  excellent  preparation. 

S.  W.  Eaton,  M.D., 

23  June ,  1881.  Eowan  Mills, 

N.  0.,  U.S.A. 


CXC.  I  like  it  very  much. 


2  Feb.,  1881. 


J.  E.  Slingerland,  M.D., 
Mt.  Lebanon, 

N,  Y.,  U.S.A. 


CXCI.  Have  tried  it  and  am  much  pleased  with  the 
results  obtained. 


18  Mays  1881. 


H.  C.  Eeiet,  M.D., 

New  Baltimore, 

Pa.,  U.S.A. 


CXC II.  I  cordially  recommend  it  to  the  medical 
profession. 


8  Sept.,  1881. 


E.  Kendrick,  M.D. 

Chief  Health  Officer, 
Corinth,  Miss. 


1 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  55 


CXCIII.  The  best  remedy  I  have  found. 

A.  B.  Pope,  M.D. 

11  Aug.,  1881.  Stewart,  Honston  Co. 

Tenn.,  U.S.A. 


CXCIY.  Used  with  satisfactory  results. 

N.  B.  Scott,  M.D. 

8  July,  1881.  Hagerstown,  Mo. 


CXCV.  Proved  efficacious  in  a  number  of  cases. 

W.  W.  Wilson,  M.D. 

17  May,  1881.  Williamston,  S.C. 


CXCYI.  Administered  it  to  a  lady  patient  with  good 
effect,  breathing  much  improved. 

G.  W.  Storey,  M.D. 

5  April,  1881.  Santa,  Jackson,  Co.,  Ala. 


CXCVII.  Am  using  it  with  best  results. 

J.  J.  Barclay,  M.D., 
Wheeler,  AH 


6  April,  1881. 


56 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CXCVIII.  Much  pleased  with  its  effect  in  an  ex¬ 
tremely  bad  case  of  Consumption,  with  symptoms  of 
Paralysis  and  Nervous  and  Cerebral  Exhaustion. 

W.  T.  Hodnett,  M.D. 

15  June,  1881.  Tuskegee,  Ala. 


CXCIX.  Frequently  employ  it ;  always  with  success. 
Know  of  nothing  better  or  more  reliable. 

John  Abercrombie,  M.D. 

18  May,  1881.  Memphis,  Tenn. 


CC.  Although  but  two-thirds  of  a  bottle  has  been 
used,  I  feel  better  than  for  fifteen  or  twenty  years. 

P.  T.  Daine,  M.D., 

4  June,  1881.  Cleveland,  Ohio. 


CCI.  Has  given  perfect  satisfaction. 

J.  H.  Decherd,  M.D., 
Van  Buren,  Arkansas. 


30  Aug.,  1881. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  57 


CCII.  Physician’s  Armamentarium  incomplete  with¬ 
out  it. 

E.  W.  Smith,  M.D., 

4  Oct.,  1881.  Yorkville,  Gibson  Co.,  Tenn. 


CCIII.  Always  reliable  in  cases  of  tuberculosis, 
nervous  debility  and  mental  derangement. 

M.  CzARTORYSKI,  M.D., 

2  Mar.,  1882.  Stockton,  Cal.,  U.S.A. 


CCIV.  Perfect  satisfaction  in  diseases  of  the  throat 
and  lungs. 

L.  C.  Davis,  M.D., 

18  Mar.,  18.82.  Vassar,  Michigan. 


ccv. 

tonic. 


Have  never  seen  anything  excel  this  as  a 

I 

B.  M.  Walker,  M.D., 
Danville,  Virg.,  U.S.A. 


22  Mar.,  1882. 


58 


SOME  CONDITIONS  OF'  ADVANCED  LIFE. 


CCVI.  One  of  the  most  valuable  therapeutical 
agents  we  now  possess  in  the  treatment  of  Pulmonary 

/ 

Diseases. 

E.  Macfarlain,  M.D., 

7  Aug.,  1882.  18,  East  128tli  Street,  New  York. 


CCVII.  Acted  well  in  cases  named;  one  patient 
entirely  cured  of  nervousness,  the  others  benefited. 

S.  B.  Chisholm,  M.D., 

23  Nov.,  1882.  Honeapath,  S.  C. 


CCVIII.  I  certainly  obtain  better  results  from 
Fellows’  Hypopliosphites  than  are  observed  from  the 
use  of  other  manufactures. 

A.  Lwezey,  M.D., 

18  Dec.,  1882.  Yardleyville,  Pa. 


CCIX.  Ordering  your  preparation  almost  daily.  It 
is  elegant,  effective,  and  answers  fully  your  recom¬ 
mendations. 

Waltar  B.  Be  yn  olds,  M.D. 
10,  Fifth  Street,  N.E., 

Washington,  D.  C. 


3  Jan.,  1883. 


FELLOWS'  SYBUP  OF  THE  HYPOPHOSPHITES.  59 


CCX.  As  indispensable  in  practice  as  quinine,  use 
it  where  a  constructive  alterative  and  general  tonic  is 
indicated,  always  with  gratifying  results.  I  believe 
Syr.  Hypo.  Co.  Fellows  has  done  more  to  establish  my 
reputation  than  all  remedies  in  the  Materia  Medica 
combined.  So  extraordinary  and  unhoped  for  were  the 
results  of  one  case  treated  by  it  that  I  fear  to  relate  it 
except  to  friends  who  know  me. 

F.  E.  Daniel,  M.D., 

25  Jany.,  1883.  Fort-Wortli,  Texas. 


CCXI.  Has  worked  splendidly  !  With  continued 
satisfaction  !  A  splendid  preparation  !  In  all  cases  cf 
debility,  in  the  first  stages  of  consumption,  and  the 
debility  of  old  age,  its  effects  are  most  satisfactory. 
Patients  increase  in  flesh,  and  improve  in  appetite 
under  its  use. 

H.  W.  Cobb,  M.D., 

9  June ,  1883.  Perry,  Michigan. 


CCXII.  In  all  cases  of  Pulmonary  Diseases,  Scrofula, 
Anaemia,  Marasmus,  find  good  results. 

A.  W.  Cotten,  M.D. 

7  June ,  1883.  Baltimore,  Maryland. 


60 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CCXIII.  Am  pleased  with  Fellows’  Hypopliosphites 
in  cases  of  female  nervousness  and  incipient  phthisis. 

S.  R.  Voorkees,  M.D. 

14  June ,  1883.  Macon,  Ohio. 


CCXIV.  In  all  respects  fully  up  to  the  measure 
you  claim  for  it. 

R.  W.  Smith,  M.D., 

4  June ,  1883.  Yorkville,  Tenn. 


CCXY.  A  very  useful  tonic  in  nervous  exhaustion, 
for  which  it  seems  especially  indicated. 

Henry  Herman,  M.D. 

May  31,  1883.  New  York  City. 


CCXYI.  Am  always  delighted  with  the  result 
obtained  from  your  Hypopliosphites.  Scarcely  a  day 
passes  that  I  do  not  prescribe  it.  A  valuable  preparation. 

B.  M.  Walker,  M.D. 

2  June ,  1883.  Danville,  Va.,  U.S.A. 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  G1 


I 


CCXVII.  Only  needs  a  trial  to  prove  its  superiority 
in  cases  of  nervous  or  general  debility,  whether  from 
pulmonary  or  other  causes. 

J.  E.  Beeve,  M.D., 

15  June ,  1883.  Martinsburg,  Texas. 


CCXVIII.  Still  using  it  with  excellent  results.  Is 
accomplishing  much  good. 

H.  B.  Pope,  M.D., 

2  June ,  1883.  Stewart,  Tenn. 


CCXIX.  Your  preparation  gives  excellent  satisfac¬ 
tion. 


Jno.  W.  Hopper,  M.D., 
1  June,  1883.  -  Hackensack,  N.J. 


CCXX.  Prescribe  it  almost  daily  in  nervous  debility 
as  well  as  pulmonary  affections.  In  some  cases  superior 
to  all  other  remedies. 

J.  A.  Jenkins,  M.D., 
Brooklyn,  E.D.,  L.I 


2  June,  1883. 


C2  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CCXXI.  Fellows’  Syrup  of  Hypophosphites  in 
Bronchial  affections  and  the  Marasmus  of  children  has 
proved  most  useful. 

Leonard  North, 

Earl  Street,  Dublin. 


CCXXII.  Je  m’en  trouve  tres  bien. 

> 

Dr.  J.  Gerard, 

14,  Rue  d’ Amsterdam, 

May  27,  1885.  Paris,  France. 


CCXXIII. 

From  the  “  New  York  Medical  Digest,”  15 th  June , 

1888. 

Fellows’  Hypophosphites. — This  preparation  for  the 
cases  in  which  it  is,  indicated,  in  our  judgment,  has  few 
equals.  It  has  become  one  of  the  essentials  almost  in 
practice.  We  have  used  many  bottles  with  great  satis¬ 
faction  to  ourselves  and  patients. 


FELLOWS'  SYRUP  OF  THE  HYP0PH0SPH1TES.  63 


CCXXIV. 

From  the  “Kansas  Medical  Index.” 

Fellows’  Hypophosphites  needs  no  word  of  commen¬ 
dation  from  us,  as  it  is  generally  prescribed  by  the 
Profession. 


CCXXY. 

From  the  “Atlanta  Eclectic  Journal,”  March,  1883. 

Fellows’  Hypophosphites. — This  compound  has  at¬ 
tained  a  popularity  seldom  equalled,  and  which  would 
be  impossible  without  merit  to  sustain  it. 


CCXXYI. 

From  the  “  Mississippi  Yalley  Medical  Monthly.” 

Fellows’  Hypophosphites  contains  all  the  ingredients 
necessary  for  the  formation  of  a  superior'  stimulant  and 
tonic.  We  have  had  the  most  satisfactory  results  from 
its  use  in  the  various  forms  of  debility,  associated  with 
or  dependent  upon  defective  assimilation. 

It  is  especially  a  desirable  remedy  in  chronic  pul¬ 
monary  diseases,  including  tuberlosis,  for  which  it  is 
one  of  our  most  common  and  satisfactory  prescriptions. 


I 


64 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


CCXXVII. 

From  the  “Hartford  Journal  of  Inebriety,”  Hartford, 
Conn.,  U.S.A.,  October ,  1883. 

Fellows’  Hypophosphites  is  a  remedy,  par  excellence, 
in  the  varied  anaemic  and  neurasthenic  conditions 
following  the  abuse  of  alcohol  and  opium. 


CCXXYIII. 

From  the  “  Southern  Clinic,”  Richmond,  Va.,  U.S.A., 

December,  1883. 

Fellows’  Hypophosphites.— The  testimony  of  the 
Profession  is  so  universal  as  to  the  value  of  the  Hypo¬ 
phosphites  in  all  wasting  diseases,  consumption,  and 
cancer,  that  we  have  only  to  say  that  the  preparation 
of  Mr.  Fellows  is  pure,  pleasant,  and  reliable. 


CCXXIX. 

From  “Handbuchder  Speciellen  Internen  Therapie.” 
Yon  Dr.  Max  Salomon,  Berlin,  1885. 

Phthisis  pulmonum. 

In  all  stages  of  Phthisis,  Fellows’  Compound  Syrup 
of  Hypophosphites  has  proved  very  useful  as  a  tonic 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  05 


to  many  eminent  English  cliniaters,  and  also  to  me  in 
repeated  trials. 

\ 

Catarrhus  Gastricus. 

Use  Fellows’  Compound  Syrup  of  Hypopliosphites. 

Cirrhosis  hepatitis. 

Use  Fellows’  Compound  Syrup  of  Hypopliosphites 
thrice  daily,  a  teaspoonful  in  a  wine-glass  of  cold  water 
at  meals. 

This  remedy  is  composed  of  the  Hypopliosphites  of 
Cliinin,  Strychnin,  Iron,  Calcium,  Potash  and  Man¬ 
ganese.  I  have  used  it  repeatedly  with  good  result 
as  a  tonic  for  stimulating  the  appetite  and  removing 
nervous  sleeplessness. 

Tabes  dorsalis , 

Try  Fellows’  Compound  Syrup  of  Hypopliosphites. 

Ancesthetica. 

Fellows’  Compound  Syrup  of  Hypopliosphites  is  espe¬ 
cially  recommended  in  cases  of  Anaemia  and  Neuras¬ 
thenia.  A  teaspoonful  at  each  meal  in  a  glass  of  cold 
wader. 


E 


66 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


Paralysis — Paresis . 

Fellows’  Compound  Syrup  of  Hypophosphites,  con¬ 
taining  the  Hypophosphites  of  Chinin,  Strychnin,  Iron, 
Calcium,  Potash,  and  Manganese,  I  have  found  useful 
in  cases  of  wearisome  Paresis  of  the  lower  extremities 
after  infectious  diseases.  One  teaspoonful  at  each  meal 
in  a  glass  of  cold  water. 


ccxxx. 

—  / 

Extract  from  an  editorial  in  “  The  Annals  of  Hygiene,’ 
Philadelphia,  Pens.,  U.S.A.,  October,  1884. 

The  special  food  of  the  brain  is  phosphorus,  and 
particularly  is  this  article  requisite  for  a  brain  exhausted 
by  mental  worry.  But  we  may  not  always  derive  the 
desired  results  from  the  use  of  the  crude  drug,  hence 
various  preparations  have  at  times  been  offered  by 
which  the  efficacy  of  the  drug  has  been  greatly 
enhanced.  Of  these  numerous  formulae  we  have  used 
many,  and  have  had  most  satisfactory  results  (in  the 
“  mental  worry  ”  caused  by  things  going  wrong)  from 
the  use  of  the  Syrup  of  the  Hypophosphites,  as  prepared 
by  James  I.  Fellows. 

Let  us  remember  that  we  must  nip  mental  worry  in 


FELLOWS’  SYRUP  OF  THE  HYPOPHOSPHITES.  67 


the  bud,  or  it  may  become  unmanageable.  Do  not  let 
it  pass  on  into  mental  exhaustion.  We  know  that 
Dr.  S.  Weir  Mitchell  treats  nervous  exhaustion  with 
rest  and  food ;  let  us  combat  mental  worry  with  the 
same  weapons — with  rest  and  with  suitable  food — and 
this  preparation  of  phosphorus  is  in  reality  a  most 
invaluable  brain  food. 


CCXXXI. 

Translated  from  an  article  in  the  “  Journal  Mede- 
cine  de  Paris,  May  10,  1885;  entitled  “A  New 
Treatment  of  Pulmonary  Phthisis  by  Hypophos- 
phites.” 

The  therapeutics  of  pulmonary  phthisis  have  made 
important  progress  during  the  last  few  years,  and  satis¬ 
factory  results  in  its  treatment  have  been  obtained,  more 
especially  since  efforts  have  been  made  to  ascertain  the 
exact  limits  of  the  lesions  and  the  reflex  results  which 
they  can  have  on  the  whole  organ.  It  has  been,  in  fact, 
proved,  that  when  the  lesions  are  limited  to  the  surface 
or  when  they  have  destroyed  a  part  only  of  the  pul¬ 
monary  parenchyma,  the  doctor  can,  by  the  methodical 
use  of  reconstituents,  obtain  for  his  patient,  if  not  a 

E  2 


G8 


SOME  CONDITIONS  OF  ADVANCED  LIFE. 


complete  cure,  at  all  events  a  relatively  satisfactory  state 
of  health. 

The  basis  of  the  rational  treatment  of  pulmonary 
phthisis  is,  therefore,  an  efficient  reconstituent  remedy 
(or  medium).  A  great  number  of  preparations  of  this 
hind  have  been  suggested  :  some  with  a  basis  of  iron, 
others  of  phosphorus,  bark,  &c.,  the  aim  of  all  being  to 
increase  the  vital  energy  and  resist  the  decay  of  the 

i  .  •* 

organ. 

A  preparation  much  in  use  in  England  and  America, 
called  by  the  name  of  its  inventor,  Mr.  James  I.  Fellows, 
consists  of  a  clever  combination  of  Hypophospliites, 
whose  therapeutic  properties  in  the  treatment  of  pul¬ 
monary  phthisis  are  well  known. 

The  bases  of  Fellows’  Hypophospliites  are  potash,  lime, 
iron,  manganese,  phosphorus,  and  various  tonic  alkaloids, 
such  as  quinine  and  strychnine.  It  is  easy  to  see  that 
such  a  combination  of  remedies  used  in  proper  propor¬ 
tions  would  have  a  beneficial  effect  in  pulmonary 
lesions.  The  potash  and  lime  restore  the  muscular 
and  osseous  system  ;  the  iron  and  manganese  enrich  the 
blood  ;  and  the  phosphorus  increases  the  vital  energy  ; 
while  quinine  and  strychnine  act  more  especially  as 
nerve  tonics. 

Numerous  practical  experiments  in  England  and 
America,  confirmed  more  recently  in  the  clinical  j)ractice 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  69 


of  a  great  number  of  hospitals  in  Paris  and  the  provinces, 
have  proved  that  the  Hypophosphites  as  prepared  by 
Mr.  Fellows  act  in  phthisis  and  other  chronic  maladies 
by  stimulating  the  appetite  and  aiding  digestion  and 
assimilation  by  strengthening  the  nerves  and  assisting 
the  constant  repair  of  the  body  in  wasting  diseases. 

The  action  of  Hypophosphites  is  most  rapid  and  bene¬ 
ficial  in  cases  of  fibroid  phthisis,  in  acute  or  sub-acute 
phthisis,  accompanied  by  fever  and  an  increase  of  tempe¬ 
rature  ;  the  Syrup,  combined  with  good  food  and  rational 
treatment,  sometimes  gives  relief  when  all  other 
medicines  have  failed. 

The  night  sweats  of  phthisical  patients  are  rapidly 
diminished  by  the  use  of  Fellows’  Syrup,  and  those 
cases  in  which  hemoptysis  is  a  marked  feature  are 
greatly  benefited. 

We  shall  no  longer  dwell  in  this  article  on  the  restor¬ 
ative  properties  of  this  Hypophosphites.  We  refer  those 
of  our  readers  who  wish  for  more  ample  information 
to  the  numerous  works  which  have  been  published  on 
this  interesting  question.*  We  have  simply  aimed  at 


*  Some  observations  on  Fellows’  Hypophosphites,  Part  I. ; 
Pulmonary  Diseases,  Part  II.  ;  Nervous  Diseases*  Part  III,  ; 
Children’s  Diseases,  Part  IV.  By  James  I.  Fellows :  London, 
67,  Holborn,  Viaduct. 


70  SOME  CONDITIONS  OF  ADVANCED  LIFE. 


calling  the  attention  of  medical  men  to  a  preparation  of 
which  one  trial  will  be  sufficient  to  convince  them  of  its 
great  therapeutic  value. 


CCXXXII. 

Extract  from  an  article  on  “  The  use  of  Permanganate 
of  Potash  in  Amenorrhcea,”  published  in  the  Gynae¬ 
cological  Journal,  July,  1885,  page  228,  by  Fancourt 
Barnes,  Esq.,  M.D.,  M.B.  &  C.M.  M.B.C.P.,  Lon¬ 
don,  Fellow  Obs.  &  Med.  Soc.,  London,  Obs.  Phys., 
Great  North  Cent.  Hospital,  Phys.,  Chelsea  Hosp. 
for  Women,  British  Lying-in  Hospital,  and  Royal 
Maternal  Hospital,  London.  Author  of  various 
works  on  Women’s  Diseases. 

London,  England. 

I  have  found  the  establishment  of  the  menstrual 
function  secured  in  several  cases  lately  under  my  care, 
by  the  administration  of  Fellows’  Hypopliosphites.  In 
badly  nourished  anaemic  girls,  with  small,  ill-developed 
uteri,  the  Hypopliosphites  will  be  found  to  give  better 
results  than  the  Permanganate  of  Potash.  Occasionally 
the  alternate  administration  of  the  drugs  is  useful. 

FANCOURT  BARNES,  M.D. 


i 


FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES.  71 


SAFEGUARDS  AGAINST  SUBSTITUTION. 

The  Fellows’  Hypophosphites  is  dispensed  in  bottles 
containing  8  oz.  and  15  oz.  by  measure — the  address, 
Fellows  &  Co.,  St.  John,  N.B.,  blown  on — the  name, 
J.  I.  Fellows,  St.  John,  N.B.,  in  watermark  upon  the 
yellow  wrapper ;  it  is  hermetically  corked  and  sealed 
with  crimson  gelatine  ;  is  heavy,  slightly  alkaline,  has 
a  pleasantly  bitter  taste,  and  deposits  a  flocculent  brown 
precipitate  of  Hypophosphite  of  Manganese  when  left 
undisturbed  for  forty- eight  hours. 

Note. — Though  this  precipitate  mars  the  appearance, 
its  presence  has  been  'found  imperative  to  its  full 
remedial  effect. 

By  ordering  f  §  viii,  the  Syrup  can  be  dispensed  in 
the  original  bottle  containing  that  quantity,  when  the 
trade  label  may  be  removed  and  prescription-directions 
substituted  as  desired. 

In  dispensing,  the  Hypophosphites  should  only  be 
diluted  with  pure  Syrup  or  Glycerine. 


PRICES. 

Great  Britain,  Stamp  included,  7$.  large ;  4 s.  small. 
Ireland  and  Colonies,  without  Stamp,  6$-  large  ;  3s.  Qd.  small. 

United  States  and  Canada,  $1.50  per  Bottle. 

Six  bottles  purchased  at  one  time  may  always  be  had  for  the 
regular  price  of  five,  in  any  Country. 

Since  the  Syrup  is  supplied  to  Agents,  at  a  given  uniform  cost 
in  every  part  of  the  world ,  the  price  should  never  exceed  the  above 
figures.  1 


72  FELLOWS'  SYRUP  OF  THE  HYPOPHOSPHITES. 


PRESCRIPTIONS. 


CooL  Liver  Oil  and  Hypophosphites  — 

Olei  Jecoris  Aselli,  §  viij. 

Ovi  Vitelli  urtius. 

Syr  :  Hypophos.  Fellows,  3  viij,  up. 

Beat  the  yolk  of  egg  with  two  teaspoonfuls  of  cold 
Avater  ;  add  the  Syrup,  and  shake  together.  Lastly  add 
the  Cod  Liver  Oil,  and  shake  until  the  mixture  becomes 
milk  white. 

Dose  for  an  adult — t\vo  teaspoonfuls  three  times  daily. 

Soda  and  Rhubarb  Powder.— 

Pulv.  Rhei.  Ind  :  Opt. 

P.  Sodie  Bi  Carb.  aa  3  ss. 

P.  Zingiber  Opt.  gr.  xl.  rip. 

Dose  for  an  adult — one  teaspoonful  in  a  wine-glass 
full  of  cold  water.  For  children — one  quarter,  half,  or 
one-third,  according  to  age. 

Stimulating  Liniment.— A  useful  application  to  the 
chest  in  bronchitis,  asthma,  and  other  pulmonary  diffi¬ 
culties. 

01.  Cajuput,  3SS. 

01.  Terebinth. 

Acid.  Acet.  Fort,  aa  ^  j. 

Ovi  Yitelli  unius. 

Aqua  q.s.,  up. 

Beat  the  yolk  of  one  fresh  egg  with  4  oz.  of  water  ;  add 
the  oils  of  cajuput  and  turpentine,  shake  well  in  a 
bottle  ;  add  the  acetic  acid,  and  lastly  sufficient  water, 
to  make  in  all  10  ozs.  Shake  well. 


INDEX. 


Disease,  &'c. 

Authority. 

Number  of 
Letter. 

Page. 

Anosmia  . 

C.  Fairfax  Nurse y  . 

CLXVI. 

34 

G.  A.  Bjoerkman 

CLXIX. 

36 

Dr.  Mora  . 

CLXXX1I. 

50 

Dr.  Riterolles  . 

CLXXXIII. 

51 

A.  W.  Cotten  . 

CCXII. 

59 

Bronchael  Asthma  . 

Bruno  Bayona  . 

CLXIII. 

32 

Bronchitis 

J.  W.  Jordan 

CLXX. 

38 

Cesare  Caprena 

CLXXV. 

42 

Samuel  Maughan 

CLXXVII. 

44 

Childrens  Diseases. 

Cesare  Caprena 

CLXX. 

42 

Cachexia 

A.  E.  Procter  . 

CLXXVIII. 

45 

Dementia 

S.  A.  Kelley 

CLXV. 

30 

Wm.  R.  Goodfellow  . 

CLXV. 

33 

Debility  . 

R.  D.  PuRFOY 

CLXII. 

31 

John  Lake  . 

CLXI. 

30 

D.  J.  King  . 

CLXIV. 

33 

C.  Fairfax  Nurse y  . 

CLXVI. 

34 

G.  A.  Bjoerkman 

CLXIX. 

36 

J.  W.  Jordan 

CLXX. 

38 

A.  E.  Procter  . 

CLXXVIII. 

45 

Dr.  Mora  . 

CLXXXII. 

50 

H.  W.  Cobb 

CCXI. 

59 

J.  R.  Reeve 

CCXVII. 

61 

J.  A.  Jenkins 

CCXX. 

61 

Diarrhoea  ( Chronic ) 

John  Lake  . 

CLXI. 

30 

Digestion 

General  Commenda- 

Dr.  Mca.  Bourdera,  . 

CLXXX. 

48 

tions  . 

A.  E.  Abrams 

CLXVII. 

35 

E.  J.  Fisk  . 

CLXVIII. 

36 

A.  E.  Procter  . 

CLXXVIII. 

45 

74 


INDEX. 


Disease,  &c. 

Authority. 

Number  of 
Letter. 

Page. 

General  Commenda- 

Dr.  Mca.  Bourdera  . 

CLXXX. 

48 

tions  ( continued ) 

Dr.  Prud’homme. 

CLXXXI. 

49 

B.  G.  Cooke 

CLXXXVI. 

53 

W.  L.  Kelsey  . 

CLXXXVII. 

53 

J.  G.  A.  Dick 

CLXXXVIII. 

53 

S.  W.  Eaton 

CLXXXIX. 

54 

J.  K.  Slingerland 

CXC. 

54 

H.  C.  Beiet 

CXCI. 

54 

E.  Kendrick 

CXCII. 

54 

A.  B.  Pope. 

CXCIII. 

55 

N.  B.  Scott 

CXCIV. 

55 

W.  W.  Wilson  . 

cxcv. 

55 

G.  W.  Storey  . 

CXCVI. 

55 

J.  J.  Barclay 

CXCVII. 

55 

Jno.  Abercrombie 

CXCIX. 

56 

P.  T.  Daine 

cc. 

56 

J.  H.  Decherd  . 

CCI. 

56 

B.  W.  Smith 

CCII. 

57 

A.  Lwezey 

CCVIII. 

58 

W.  B.  Beynold?. 

CCIX. 

58 

F.  E.  Daniel 

ccx. 

59 

B.  W.  Smith 

CCXIV. 

60 

B.  M.  Walker  . 

CCXVI. 

60 

H.  B.  Pope 

CCXVIII. 

61 

J.  W.  Hopper 

CCXIX. 

61 

Dr.  J.  Gerard  . 

CCXXII. 

62 

Insomnia 

Bruno  Bayona  . 

CLXIII. 

32 

V.  Guzman. 

CLXXII. 

40 

Malaria  . 

G.  A.  Bjoerkman 

CLXIX. 

36 

Mental  Mischief 

J.  A.  Exton 

CLXXIII. 

40 

Cesare  Caprena 

CLXXV. 

42 

A.  E.  Procter  . 

CLXXVIII. 

45 

W.  T.  Hodnett  . 

CXCVIII. 

56 

M.  CZARTORYSKI . 

CCIII. 

57 

Medical  Journals  . 

N.  Y.  Medical  Digest 
Kansas  Medical  In- 

CCXXIII. 

62 

DEX. 

Atlanta  Eclectic 

CCXXIV. 

63 

-Journal  . 

ccxxv. 

63 

INDEX. 


75 


Disease,  &c. 

Authority. 

Number  of 
Letter. 

Page. 

Medical  Journals 
(  continued  ) 

Miss.  Val.  Medical 
Monthly 

CCXXVI. 

03 

Hartford  Journal  of 
Inebriety 

CCXXVII. 

64 

Southern  Clinic 

CCXXVIII. 

04 

Handbuch  der  Spec. 
Inter.  Therapie 

CCXXIX. 

64 

Annals  of  Hygiene  . 

CCXXX. 

00 

Journ.  Med.  Paris 

CCXXXI. 

67 

Gyncecological  Journ. 

CCXXXII. 

70 

Marasmus 

G.  A.  Bjoerkman 

clnix. 

36 

J.  W.  Jordan 

CLXX. 

38 

Samuel  Maughan 

CLXXVII. 

44 

H.  W.  Cobb 

CCXI. 

59 

A.  W.  COTTEN  . 

CCXII. 

59 

Leonard  North  . 

CCXXI. 

62 

Nervous  . 

W.  R.  Goodfellow  . 

CLXV. 

33 

Y.  Guzman. 

CLXXII. 

40 

Josiah  Paull 

CLXXIV. 

41 

Thomas  Hill  .  , 

CLXXVI. 

43 

Samuel  Maughan 

CLXXVII. 

44 

W.  T.  Hodnett  . 

CXCVIII. 

56 

M.  CZARTORYSKI . 

CCIII. 

57 

S.  R.  Chisholm  . 

CCVII. 

58 

S.  R.  Voorkees  . 

CCXIII. 

60 

Henry  Herman  . 

ccxv. 

60 

J.  A.  Jenkins 

ccxx. 

61 

Neuralgia 

Percival  H.  Watson  . 

CLXXIX. 

47 

A.  Neely  . 

CLXXXV. 

53 

Opium  and  Alcohol. 

Journal  of  Inebriety 

CCXXVII. 

64 

Paralysis 

Samuel  Maughan 

CLXXVII. 

44 

Phthisis  . 

J.  W.  Jordan 

CLXX. 

38 

J.  Harmison 

CLXXI. 

39 

J.  A.  Exton 

CLXXIII. 

40 

Josiah  Paull 

CLXXIV. 

41 

Cesare  Caprena. 

CLXXV. 

42 

Dr.  Mora  . 

CLXXXII. 

50 

J.  W.  Gilkeson  . 

CLXXXIV. 

52 

W.  T.  Hodnett  . 

CXCVIII. 

56 

76 


INDEX. 


Disease,  &c. 

Authority. 

Number  of 
Letter. 

Page. 

Phthisis  (continued ) 

M.  CzARTORYSKI  . 

CCIII. 

57 

H.  W.  Cobb 

CCXI. 

5'J 

S.  R.  Yoorkees  . 

CCXIII. 

60 

Pulmonary 

G.  A.  Bjoerkman 

CLXIX. 

38 

Samuel  Maughan 

CLXXVII. 

44 

A.  W.  COTTEN 

CCXII. 

59 

J.  A.  Jenkins 

ccxx. 

61 

Pneumonia 

J.  A.  Exton 

CLXXIII. 

40 

Samuel  Maughan 

CLXXVII. 

44 

Strumous 

Samuel  Maughan 

CLXXVII. 

44 

Dr.  Mora  . 

CLXXXII. 

50 

Dr.  Riterolles  . 

GLXXXIII. 

51 

A.  W.  CoTTEN  . 

CCXII. 

59 

Throat  and  Chest  . 

L.  C.  Davis 

CCIV. 

57 

Tonic 

B.  M.  Walker  . 

ccv. 

57 

F.  E.  Daniel 

ccx. 

59 

Henry  Herman . 

ccxv. 

60 

D.  J.  King  .  . 

CLXIV. 

33 

INDEX 

OF  MEDICAL  LETTERS  TO  BE  FOUND  IN 
PARTS  I,  II,  III,  AND  IV. 

*  i 


Medical  Authority. 

1 

Address. 

Disease.  ' 

Book. 

Page. 

Addy,  H.  G.  . 

Canada 

Nervous  Disease  . 

1 

58 

Allen,  David  J.  . 

London 

Children's  Diseases 

4 

48 

Do. 

Phthisis . 

4 

48 

Anglada,  Farriols 

Spain  . 

Bronchitis 

4 

43 

Do. 

Dyspepsia 

4 

43 

ff  ff 

Atlanta  Eclectic 

Do. 

Nervous  Diseases  . 

4 

43 

Medical  Journal 

U.S.A. 

Commendatory 

4 

57 

Baines,  J.  K. 

England 

Phthisis. 

4 

33 

If  •  • 

Do.  . 

Bronchitis 

4 

33 

Bateley,  R.  Godfrey  . 

Do.  . 

Nervous  . 

3 

50 

Eartlett,  Edward 

London 

General  .  '  . 

2 

41 

Bernard,  Walter 

Ireland 

Phthisis. 

2 

42 

Bigelow,  J.  M. 

U.S.A. 

Do.  ... 

2 

53 

Birm.  Med.  Review 

England 

Do.  ... 

2 

27 

Black,  James 

P<?.  . 

Children's  Diseases 

4 

37 

Blake,  A.  H. 

London 

Insomnia 

4 

39 

9)  ... 

Do.  . 

Nervous  Diseases  . 

4 

39 

If  ... 

Do.  . 

Senile  Debility 

4 

39  ' 

Brinton,  Wilmer  . 

U.S.A. 

General  . 

3 

415 

Browne,  H.  P. 

Ireland  *  . 

Insomnia 

4 

42 

Do. 

Nervous  Diseases  . 

4 

42 

Browne,  Lennox  . 

Lond  n 

General  . 

1 

50 

Brown,  Gossett  . 

Do.  .  . 

Bronchitis  •  . 

2 

38 

Br.  Med.  Journal 

Do. 

Phthisis . 

1 

17 

Bryan,  F.  C.  . 

Ehgland 

Pulmonary  . 

2 

42 

Buffalo  Journal. 

U.S.A. 

Do. 

1 

18 

Callaway  &  Gripley  . 

Missouri 

Do. 

1 

34 

Carreras,  Juan  Viura  y 

Spain  . 

Bronchitis 

4 

35 

Chesnf.y,  K.  Arn  . 

Virginia 

Pulmonary 

2 

48 

Christiansen,  E.  . 

Iowa  . 

Do. 

3 

47 

Clarke,  Stephen  J. 

New  York  . 

Do. 

3 

47 

Clay,  Edward 

Canada 

Do. 

1 

32 

Collignon,  H.  F.  . 

Belgium 

Neryous  . 

1 

40 

Crane,  Chandler. 

Canada 

Pulmonary  . 

1 

'  35 

Craig,  R. 

Scotland 

Do. 

2 

48 

Do. 

Bronchitis 

2 

48 

Croker,  George  . 

Ireland 

Pulmonary  . 

3 

40 

i 


78 


INDEX . 


Medical  Authority. 

Address. 

Disease. 

Book. 

Page. 

Crossby,  J.  Parker 

England 

General  . 

1 

28 

Crocker,  J.  . 

. 

Do.  . 

Do.  .... 

1 

27 

OULBREATH,  W.  A.. 

# 

South  Carolina 

# 

Do. 

2 

49 

Day,  E.  J. 

. 

England 

Melancholia  . 

1 

29 

Davis,  L.  C.  . 

. 

U.S.A. 

. 

Pulmonary  . 

2 

43 

Denton,  E.  W. 

. 

England 

. 

Do. 

1 

43 

Children  born  in 

Douglas,  A.  E. 

Ireland  , 

# 

Didia  . 

4 

49 

33 

# 

Do.  . 

. 

Rickets  . 

4 

49 

Do. 

# 

Strumous  Diseases 

4 

49 

Duffey,  G.  F. 

• 

Do. 

. 

Pulmonary  . 

2 

21 

Earle,  Z.  S.  . 

. 

Canada 

. 

Do. 

1 

31 

Eklund,  F.  . 

• 

Sweden 

. 

Commendatory 

4 

41 

Evans,  C.  H.  . 

• 

U.S.A. 

Nervous  . 

3 

43 

Faust,  C.  I.  . 

. 

Do. 

. 

General  Debility  . 

3 

45 

Felix,  Jules  . 

• 

Belgium 

. 

Paralysis 

2 

30 

Fellows,  Jas.  I.  . 

, 

London 

, 

Pulmonary  . 

1 

14 

Filson,  Alex. 

. 

Ireland 

General  . 

1 

26 

Ford,  Charles 

Scotland 

Do. 

2 

50 

33  )! 

• 

Do.  . 

Nervous  and  Pul- 

monary 

3 

51 

Fothergill,  J.  M. 

. 

London 

Nervous  . 

1 

27 

Francis,  Matthew 

. 

England 

Do. 

1 

42 

Goreham,  It.  V.  . 

. 

Do.  . 

# 

Bronchitis  in  chil- 

dren  . 

2 

37 

# 

Do. 

Nervous  . 

3 

49 

Gostling,  G.  J. 

• 

Do. 

• 

Hcemorrhage 

3 

34 

Hamer,  J.  W. 

. 

U.S.A. 

. 

Bronchitis 

4 

44 

• 

Do.  . 

. 

Insomnia 

4 

44 

Hartford  Journal 

OF 

Inebriety  . 

, 

Do. 

• 

A  ncemia . 

4 

54 

Haughton,  It.  E.  . 

Do. 

, 

Chorea  . 

4 

43 

, 

Do. 

Phthisis . 

4 

43 

Hayes,  It.  E.  . 

Ireland 

Phthisis  and  Ner- 

vous  . 

3 

37 

Hayden,  Thos. 

. 

Do. 

, 

General  . 

3 

31 

Hincks,  J.  S.  H.  . 

. 

England 

• 

Do. 

3 

39 

Hogg,  Chas.  . 

London 

« 

Nervous  . 

3 

Howe,  W.  S.  . 

# 

Maine 

• 

Diphtheria  . 

1 

33 

Howard,  J.  W. 

, 

England 

• 

Phthisis . 

2 

39 

Hodgkinson,  Alex. 

. 

Do.  . 

Nervous  . 

1 

44 

Hubbard,  Henry  W. 

London 

General  . 

3 

33 

Hughes,  T.  . 

Wales  . 

# 

Nervous  . 

1 

40 

Huguenin,  J.  G.  . 

# 

U.S.A. 

a 

Pulmonary  . 

3 

44 

Jacobs,  S. 

. 

Canada 

Aphonia. 

1 

47 

Jones,  J.  J.  . 

Arkansas 

Nervous  . 

1 

37 

Jones,  A.  E.  . 

, 

England 

• 

General  . 

3 

39 

Jones,  Wm.  . 

Do.  . 

• 

Do. 

2 

53 

Jones,  W.  R.  P. 

Wales  . 

• 

Nerve  Nutrition  . 

4 

37 

Jordan,  M.  J. 

Ireland 

• 

Debility  . 

2 

35 

Hay,  J.  R. 

'  • 

Michigan 

• 

Nerve  Nutrition  . 

4 

36 

33  •  • 

• 

Do.  . 

• 

Night  Sweats . 

•  4 

36 

INDEX 


79 


Medical  Authority. 

Address. 

Disease. 

Book. 

?age. 

Kay,  J*  Rt  •  • 

Michigan  . 

Phthisis . 

4 

38 

Do. 

.  ’ 

Pneumonia  . 

4 

36 

Kerr,  Alex.  S. 

Ireland 

.  j 

General  . 

3 

29 

Kettess,  Dr. 

Hungary 

.  \ 

Commendatory 

4 

41 

Lane,  Jas.  H. 

U.S.A. 

, 

General  . 

2 

49 

Liv.  Med.-Chir.  Journ. 

England 

. 

Commendatory 

4 

55 

Do. 

. 

Nerve  Nutrition  . 

4 

55 

London  Lancet  . 

London 

. 

General  . 

1 

17 

Louisville  Med.  News 

Louisville  . 

. 

Children's  Diseases 

4 

55 

99  >>  99  * 

Do. 

#  i 

Phthisis . 

4 

55 

n  »»  99  • 

Do. 

. 

Strumous  Diseases 

4 

55 

Low,  W.  Stuart  . 

England 

. 

Commendatory 

4 

42 

Macf ARLAN,  E. 

New  York  . 

. 

Pulmonary ,  &c.  . 

3 

34 

McKenzie,  M. 

U.S.A. 

. 

Nervous  Asthenia  . 

2 

44 

McMaster,  Alex. 

Arkansas 

.  i 

Nervous  . 

1 

52 

McIntire,  J.  P.  . 

Scotland 

.  i 

Pulmonary  . 

1 

41 

McDonald,  J.  Alex.  . 

England 

Nervous  . 

3 

42 

Madden,  Thos.  More  . 

Ireland 

Children's  Diseases 

3 

30 

»  n  99 

Do. 

. 

Do. 

4 

32 

99  99  99 

Do. 

. 

Tubercular  . 

4 

32 

Malans,  Boner  . 

Switzerland 

• 

Insomnia 

4 

34 

99  99  .  '  . 

Do. 

Nervous  Diseases  . 

4 

34 

99  99  •  * 

Do. 

Senile  Debility 

4 

34 

Marcy,  H.  D. 

U.S.A. 

• 

Nervous  and  Pul¬ 
monary 

3 

43 

Masters,  Jno. 

England 

Nervous  Diseases  . 

4 

33 

Medical  News 

U.S.A. 

. 

Nerve  Nutrition  . 

4 

56 

Med.  Org.,  Brussels  . 

Belgium 

• 

General  . 

3 

27 

Mellor,  H.  H.  De 

India  . 

. 

Bronchitis 

4 

38 

99  *  * 

Miss.  Yal.  Medical 

Do. 

• 

Phthisis. 

4 

38 

Monthly  . 

Miss.  Yal.  Medical 

U.S.A. 

• 

Nerve  Nutrition  . 

4 

56 

Monthly  . 

U.S.A. 

. 

Phthisis . 

4 

56 

Moore,  S.  J.  . 

Scotland 

Nervous  . 

1 

32 

Morse,  M. 

New  Jersey . 

General  . 

1 

45 

Murphy,  J.  J. 

Ireland 

. 

Pulmonary 

1 

51 

Mundie,  Geo. 

England 

. 

Nervous  . 

2 

39 

Nicolson,  W.  P.  . 

U.S.A. 

General  . 

3 

35 

Nowack,  J.  . 

Austria 

. 

Insomnia 

4 

45 

99  • 

Do. 

. 

Nervous  Diseases  . 

4 

45 

N.  Y.  Med.  Digest 

U.S.A. 

. 

Commendatory 

4 

57 

Olpherts,  J.  W.  . 

Ireland 

• 

Nervous  . 

1 

30 

Orozoo,  Francisco 

Spain  . 

. 

Commendatory 

4 

51 

Palm,  Theo.  A. 

Japan  . 

. 

Nervous  . 

3 

48 

Parker,  R.  W. 

London 

. 

Scrofulous 

1 

55 

Payne,  Edw. 

Canada 

, 

General  . 

2 

46 

Perkins,  J.  Turner  . 

U.S.A. 

# 

Commendatory 

4 

40 

Phillips,  G.  C. 

Mississippi  . 

. 

Malaria . 

1 

42 

Press  and  Circular  . 

London 

. 

General  . 

1 

24 

Practitioner 

Do. 

Do.  ... 

1 

18 

Raeols,  F.  J.  . 

Spain  . 

• 

Pulmonary  . 

3 

28 

80 


INDEX. 


Mtdical  Authority. 

Address. 

Disease. 

Book. 

?age. 

Rafols,  Francisco  J.  . 

Spain  . 

A  ncemia . 

4 

40 

JJ  J)  • 

1)0. 

Nervous  Diseases  . 

4 

40 

DO. 

Phthisis . 

4 

40 

Read,  A.  W.  . 

U.S.A. 

Neuralgic  Rheu- 

matism 

3 

36 

Robertson,  W.  T. 

England 

Debility  .  .  - 

2 

40 

Ross,  Geo. 

Virginia 

General  . 

1 

53 

Salmon,  Jas.  . 

Canada 

Asthma  . 

1 

36 

Scammell,  L.  L.  . 

Massachusetts  . 

Nervous  . 

1 

54 

Scott,  J.  H.  W.  . 

Canada 

Pulmonary 

1 

aH 

Servias,  Leopd.  . 

Belgium 

Dyspepsia 

2 

29 

Simpson,  E.  . 

New  York  . 

Pulmonary  . 

1 

36 

Smith,  A. 

Canada 

Do. 

1 

34 

Smyth,  William  . 

Ireland 

Children's  Diseases 

4 

52 

J)  •  • 

Do.  . 

Nervous  Diseases  . 

4 

52 

Do.  . 

Phthisis . 

4 

52 

Do. 

Pleuritis. 

4 

52 

>>  »  •  • 

Do. 

Strumous  Diseases. 

4 

52 

Specialist  . 

London 

Nervous  . 

1 

23 

Star-tin,  James 

Do.  . 

Skin 

2 

52 

Stein,  R.  v.  . 

Austria-Hungary 

A  naemia . 

4 

46 

5)  • 

Do.  . 

Haemoptysis  . 

4 

46 

J)  ... 

Do. 

Night  Sweats. 

4 

46 

Do. 

Phthisis . 

4 

46 

Stone,  W.  DonnetT 

London 

Commendatory 

4 

53 

St.  Louis  Journal 

Missouri 

Cerebral  Anaemia  . 

1 

19 

Tait,  Lawson. 

England 

A  naemia . 

1 

28 

Tremeame,  J. 

Australia 

Nerve  Nutrition  . 

4 

51 

Trestrail,  H.  E.  . 

England 

Haemorrhage . 

1 

39 

Times  and  Gazette 

London 

Nervous  . 

1 

21 

Tinsley,  A.  . 

Maryland  . 

General  . 

1 

46 

Vesey,  T.  A.  . 

Ireland 

Pulmonary  . 

1 

48 

Vincent,  Osman  . 

London 

Rachitis . 

1 

22 

VlNDEVOGEL,  J. 

Belgium 

Pulmonary 

2 

31 

Wade,  W.  S.  . 

England 

Haemorrhage . 

1 

49 

Wallford,  W. 

London 

Bronchitis 

1 

44 

Watson,  Arthur  . 

England 

Nervous  . 

1 

55 

Wheeler,  Henry  C.  . 

U.S.A. 

Commendatory 

4 

50 

Do.  . 

Insomnia 

4 

50 

Whistler,  T.  Lowe 

Ireland 

Commendatory 

4 

53 

Do.  . 

Imitations 

4 

53 

Wicks,  W.  C.  . 

England 

General  . 

1 

47 

Wilson,  H.  B. 

Maryland  . 

Pulmonary  . 

1 

37 

Williams,  R. 

U.S.A. 

Angina  Pectoris  . 

3 

35 

Wingate,  M.  W.  . 

Massachusetts  . 

Nervous  Diseases  . 

4 

50 

Young,  James 

Scotland 

Nervous  . 

'  3 

37 

Yount,  T.  J.  . 

Indiana 

Commendatory 

4 

54 

Bradbury,  Wilkinson  &  Co.,  Printers,  85,  Bucklersbury,  London,  E.C. 


,  ni;ivti:,.;rtv-''i  'i:ri 

PRINCIPAL  DEPOTS 


FOE 


FELLOWS'  HYPOPHOSPHITES. 


EUROPE. 

BURROUGHS,  WELLCOME  &  Co.,  London,  England. 

WM.  HAYES  &  Co.,  Dublin,  Ireland. 

F..  DELCHEVALERIE,  74,  Rue  de  Namur,  Brussels,  Belgium. 

Ch.  DELACRE,  Brussels,  Belgium. 

A.  W.  GROOTE,  43,  Kalverstraat,  Amsterdam,  Holland. 

ALFRED  BENZON,  Copenhagen,  Denmark. 

GEORGE  F.  ULEX,  6,  Stubenhuk,  Hamburg,  Germany. 

HIJOS  DE  JOSE  VIDAL  Y  RIBAS,  Barcelona,  Spain. 

JAMES  CASSELS  &  Co.,  Oporto,  Portugal. 

A.  SAUTER,  Geneva,  Switzerland. 

ROBERTS  &  Co.,  5,  Rue  de  la  Paix,  Paris,  France. 

H.  ROBERTS  &  Co.,  Florence  and  Rome,  Italy. 

FRANK  R.  SQUIRE,’  St.  Remo,  Italy. 

JULIUS  KIRCHHOFER,  Trieste,  Austria-Hungary. 

JOSEF  Y.  TOROK  (Konigsgasse  Nr.  12),  Buda-Pesth,  Hungary. 
“ENGEL  APOTHEKE  ”  (C.  Haubner’s),  Wien,  Austria-Hungary 
PHARMACIA  LA  SPERANTIA,  Bucharest,  Roumania. 
PHARMACIA  BRUS,  Bucharest,  Roumania. 

M.  B.  STROM,  Drammen,  Norway. 

A.  M.  BECKMAN,  Stockholm,  Sweden. 

ALEX.  NORDSTROM,  Helsingfors,  Finland. 

CAUZUCH  FRERES,  Pera,  Constantinople,  Turkey 
C.  OLYMPIUS,  Athens,  Greece. 


ASIA. 

HENRY  BALLANTYNE,  Bombay,  India. 
BATHGATE  &  Co.,  Calcutta,  India. 

SMITH,  STANISTREET  &  Co.,  Calcutta,  India. 
SINGAPORE  DISPENSARY,  Singapore. 
ARTHUR  J.  BENTLEY,  Singapore. 

MAITLAND  &  Co.,  Colombo,  Ceylon. 

A.  S.  WATSON  &  Co.,  Hong  Kong. 

A..  S.  WATSON  &  Co.,  Manilla. 

MUSTARD  &  Co.,  Shanghai,  China. 

W.  J.  S  SHAND,  Yokohama,  Japan. 

RATHKAMP  &  Co.,  Batavia,  Java. 


[Oyer. 


